Individual provider Active NPI

Alissa Grischuk, PT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1407373947
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4683 Issued in HI
Practice address
347 N Kuakini St
Honolulu, HI 96817-2306
Phone
(908) 420-8802
NPI assigned
Aug 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 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 40QA01745600 NJ
Physical Therapist 225100000X 4683 HI Primary

Addresses

Primary practice location

347 N Kuakini St
Honolulu, HI 96817-2306

Mailing address

2029 Nuuanu Ave Apt 1206
Honolulu, HI 96817-2508

Other practice location 1

2230 Liliha St
Honolulu, HI 96817-1646
Phone (908) 420-8802

Other practice location 2

625 Hwy 34
Matawan, NJ 07747-3050
Phone (732) 566-6400

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4683HIMDPhysical Therapist
40QA01745600NJMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1407373947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 NUUANU AVE APT 1206",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 N KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172306",
            "telephone_number": "908-420-8802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2230 Liliha St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968171646",
            "country_code": "US",
            "telephone_number": "908-420-8802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 Hwy 34",
            "address_purpose": "LOCATION",
            "city": "Matawan",
            "state": "NJ",
            "postal_code": "077473050",
            "country_code": "US",
            "telephone_number": "732-566-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRISCHUK",
        "first_name": "ALISSA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01745600",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "4683",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 20, 2021; 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.