Active NPI
Seth David Conway, DPT
- Physical Therapist
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-4901
- Practice address
- 1401 S Beretania St Ste 550
Honolulu, HI 96814-1880 - Phone
- (808) 591-2244
- Fax
- (808) 591-2245
- NPI assigned
- Oct 2, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-4901 | HI | Primary |
Addresses
Primary practice location
1401 S Beretania St Ste 550
Honolulu, HI 96814-1880
Mailing address
1401 S Beretania St Ste 550
Honolulu, HI 96814-1880
Phone (808) 591-2244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53213 | Other | HI | UNIVERSITY HEALTH ALLIANCE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | billing@jacorehab.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jaco Rehab Kapolei Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Jaco Rehab Waikele Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Orthosport Physical Therapy | Current | Accepting new patients | |
| Jaco Rehab Mililani Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Jaco Rehab Honolulu Limited Partnership | Physical Therapist | Current | Accepting new patients |
Locations
1401 S Beretania St
Ste 550
Honolulu, HI 96814
Phone (808) 591-2244
5722 Kalanianaole Hwy
Honolulu, HI 96821
Phone (808) 373-1114
599 Farrington Hwy
Ste 206
Kapolei, HI 96707
Phone (301) 421-1125
95-1105 Ainamakua Dr
Ste 203
Mililani, HI 96789
Phone (209) 770-6581
94-849 Lumiaina St
Unit 101
Waipahu, HI 96797
Phone (808) 536-8947
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Honolulu, HI
- NPI 1265073878
-
- Physical Therapist
- Kapolei, HI
- NPI 1437790052
-
- Physical Therapist
- Mililani, HI
- NPI 1700427325
-
- Physical Therapist
- Waipahu, HI
- NPI 1629619234
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Honolulu, HI
- NPI 1811585524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1326689175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 S BERETANIA ST STE 550",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141880",
"telephone_number": "808-591-2244",
"fax_number": "808-591-2245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S BERETANIA ST STE 550",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141880",
"telephone_number": "808-591-2244",
"fax_number": "808-591-2245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "SETH",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-02",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT-4901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTH ALLIANCE",
"identifier": "53213",
"state": "HI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "billing@jacorehab.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Honolulu",
"address_1": "1401 S Beretania St Ste 550",
"city": "Honolulu",
"state": "HI",
"country_code": "US",
"postal_code": "968141880",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.