NPIMap

Organization Active NPI

Physical Therapy Homecare

  • Physical Therapist
  • Kihei, HI
National Provider Identifier
1346442324
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1859 Issued in HI
Legal business name
PHYSICAL THERAPY HOMECARE
Practice address
160 Keonekai Rd
Kihei, HI 96753-7123
Phone
(808) 250-6260
NPI assigned
Jun 2, 2007
Last updated
Sep 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Mrs. Amanda Probert Eller, MPTNPI 1275575573
Title
Member LLC, Physical Therapist
Phone
(808) 250-6260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1859 HI Primary

Addresses

Primary practice location

160 Keonekai Rd
Kihei, HI 96753-7123

Mailing address

PO Box 6359
Kahului, HI 96733-6359

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1180742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1346442324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6359",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967336359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 KEONEKAI RD",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537123",
            "telephone_number": "808-250-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-02",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "ELLER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "PROBERT",
        "authorized_official_title_or_position": "MEMBER LLC, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "808-250-6260",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "1859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.