Pacific Sports Rehab,LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

2995 Issued in HI

Legal business name

PACIFIC SPORTS REHAB,LLC

Practice address

321 N Kuakini St
Suite 801
Honolulu, HI 96817-2364

Phone

(808) 585-7799

Fax

(888) 417-2122

NPI assigned

Aug 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Paul Howyue Wang, DPT

Title

Doctorate of Physical Therapy

Phone

(808) 585-7799

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Natalie Sierra Allen, OTD

  • Occupational Therapist
  • Mountlake Terrace, WA
  • NPI 1598281933

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1356573083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "SUITE 801",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364",
            "telephone_number": "808-521-2002",
            "fax_number": "888-417-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "SUITE 801",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364",
            "telephone_number": "808-585-7799",
            "fax_number": "888-417-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SPORTS REHAB,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "HOWYUE",
        "authorized_official_title_or_position": "DOCTORATE OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "808-585-7799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "2995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII PHYSICAL THERAPY LICENSE NUMBER",
            "identifier": "2995",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific Radiation Oncology LLC
• Pacific Radiology Group Inc
• Pacific Rim Play Therapy LLC
• Pacific Shores Psychology LLC
• Pacific Sports & Rehabilitation Center, LLC
• Pacific Star . Inc
• Pacific Urology Inc
• Pacific Vision Institute Inc
• Pacific Wellness, LLC
• Pacific Womens Care LLC

• Specialist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.