Individual provider Active NPI

Tonya Lynn Wills, MSPT

  • Physical Therapist
  • Kapaa, HI
National Provider Identifier
1376815985
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2325 Issued in HI
Practice address
401 Papaloa Rd
Suite 205
Kapaa, HI 96746-1418
Phone
(808) 652-1954
NPI assigned
Jan 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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 2325 HI Primary

Addresses

Primary practice location

401 Papaloa Rd
Suite 205
Kapaa, HI 96746-1418

Mailing address

P.O. Box 1242
Kalaheo, HI 96741
Phone (808) 639-3520

Other names 1

  • Mrs. Tonya Lynn Debarba Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2325HIMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Sports Inc Physical Therapist PastSince Aug 4, 2019 Accepting new patients
Kauai in-Home Therapy LLC Physical Therapist Past Accepting new patients
Kauai in-Home Therapy Plus Past Accepting new patients

Organizations & group practices 3

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": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1376815985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1242",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "96741",
            "telephone_number": "808-639-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PAPALOA RD",
            "address_2": "SUITE 205",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461418",
            "telephone_number": "808-652-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "TONYA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONYA",
            "last_name": "DEBARBA",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kapaa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.