Organization Active NPI

Hawaii Fce & Rehabilitative Services

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1407035074
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 498 Issued in HI
Legal business name
HAWAII FCE & REHABILITATIVE SERVICES
Practice address
1314 S King St Ste 1451
Honolulu, HI 96814-1948
Phone
(808) 593-2610
Fax
(808) 591-9420
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Mr. Florian Flores, P.T.
Title
Physical Therapist
Phone
(808) 593-2610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT 498 HI Primary

Addresses

Primary practice location

1314 S King St Ste 1451
Honolulu, HI 96814-1948

Mailing address

1314 S King St Ste 1451
Honolulu, HI 96814-1948
Phone (808) 593-2610

Other identifiers 1

IdentifierTypeStateIssuer
00415702MedicaidHI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1407035074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 S KING ST STE 1451",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141948",
            "telephone_number": "808-593-2610",
            "fax_number": "808-591-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S KING ST STE 1451",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141948",
            "telephone_number": "808-593-2610",
            "fax_number": "808-591-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII FCE & REHABILITATIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "FLORIAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "808-593-2610",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT 498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00415702",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

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