Individual provider Active NPI

Shiela Marie Dinunzio, M.S.P.T.

  • Physical Therapist
  • Kihei, HI
National Provider Identifier
1386641009
Registry record updated Feb 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4804 Issued in HI
Practice address
411 Huku Lii PL Ste 101
Kihei, HI 96753-7062
Phone
(808) 879-0077
NPI assigned
Jul 7, 2005
Last updated
Feb 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305005308 VA
Physical Therapist 225100000X 4804 HI Primary

Addresses

Primary practice location

411 Huku Lii PL Ste 101
Kihei, HI 96753-7062

Mailing address

411 Huku Lii PL Ste 101
Kihei, HI 96753-7062
Phone (808) 879-0077

Other practice location 1

860 Omni Blvd
Suite 303
Newport News, VA 23606-4430
Phone (757) 232-8769

Other identifiers 1

IdentifierTypeStateIssuer
010089719MedicaidVA

Other names 1

  • Shiela Marie Robison Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190814002078 HI Practitioner - Physical Therapist in Private Practice 3971585605 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4804HIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Physical Therapy & Sportsmedicine, Inc Physical Therapist CurrentSince Mar 8, 2021 Accepting new patients
Action Rehab Inc Physical Therapist CurrentSince Aug 1, 2019 Accepting new patients
South Shore Physical Therapy & Sportsmedicine, Inc CurrentSince Mar 8, 2021 Accepting new patients
Reach for Performance, Inc. Physical Therapist Past Accepting new patients

Locations

863 Halekauwila St
Honolulu, HI 96813
Phone (808) 597-1555

118 Maa St
Kahului, HI 96732
Phone (808) 244-0077

411 Huku Lii Pl
Ste 101
Kihei, HI 96753
Phone (808) 298-4933

40 Kupuohi St
Ste 105
Lahaina, HI 96761
Phone (808) 661-0077

40 Kupaoa St
#B201
Makawao, HI 96768
Phone (808) 872-0077

40 Kupaoa St
Ste B201
Makawao, HI 96768

1827 Wells St
Ste 2
Wailuku, HI 96793
Phone (808) 244-0077

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614470400000",
    "number": "1386641009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 HUKU LII PL STE 101",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537062",
            "telephone_number": "808-879-0077",
            "fax_number": "808-879-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 HUKU LII PL STE 101",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537062",
            "telephone_number": "808-879-0077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 Omni Blvd",
            "address_2": "Suite 303",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064430",
            "country_code": "US",
            "telephone_number": "757-232-8769",
            "fax_number": "757-232-8875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINUNZIO",
        "first_name": "SHIELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005308",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "4804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010089719",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIELA",
            "last_name": "ROBISON",
            "middle_name": "MARIE",
            "credential": "M.S.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 28, 2021; 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.

Verify at the official NPI Registry.