NPIMap

Organization Active NPI

Moon Physical Therapy LLC

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1326235128
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 1843 Issued in HI
Legal business name
MOON PHYSICAL THERAPY LLC
Practice address
320 Ward Ave
Suite 107
Honolulu, HI 96814-4001
Phone
(808) 597-1005
Fax
(808) 597-1006
NPI assigned
Sep 26, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julie S O Moon, PT
Title
Owner
Phone
(808) 597-1005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 1843 HI Primary

Addresses

Primary practice location

320 Ward Ave
Suite 107
Honolulu, HI 96814-4001

Mailing address

320 Ward Ave
Suite 107
Honolulu, HI 96814-4001
Phone (808) 597-1005

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1326235128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WARD AVE",
            "address_2": "SUITE 107",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144001",
            "telephone_number": "808-597-1005",
            "fax_number": "808-597-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WARD AVE",
            "address_2": "SUITE 107",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144001",
            "telephone_number": "808-597-1005",
            "fax_number": "808-597-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "S O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-597-1005",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT 1843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.