Individual provider Active NPI

Dawn Jernaill

  • Physical Therapist
  • Kahului, HI
National Provider Identifier
1376636613
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
971 Issued in HI
Practice address
53 S Puunene Ave Ste 104
Kahului, HI 96732-2192
Phone
(808) 887-1090
NPI assigned
Oct 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 971 HI Primary

Addresses

Primary practice location

53 S Puunene Ave Ste 104
Kahului, HI 96732-2192

Mailing address

53 S Puunene Ave Ste 104
Kahului, HI 96732-2192
Phone (808) 887-1090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070202000469 HI Practitioner - Physical Therapist in Private Practice 3072515147 Reassigns benefits to 1 organization
Practice locations: Kahului, HI

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy and Wellness Center of Maui LLCGroup PAC ID 6608767413, 3 clinicians

Practice addresses (Care Compare)

430 Kele St
Suite 401
Kahului, HI 96732-3406
Phone (808) 871-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
971HIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Holo Mua LLC Past Accepting new patients
AMC Corporation Past Accepting new patients
Elite Physical Therapy and Sports Physical Therapist PastSince Jan 9, 2017 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1376636613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 S PUUNENE AVE STE 104",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322192",
            "telephone_number": "808-887-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 S PUUNENE AVE STE 104",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322192",
            "telephone_number": "808-887-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERNAILL",
        "first_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-01",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.