Active NPI
Mary Lau-Miki, PHYSICAL THERAPY
- Specialist
- Mililani, HI
National Provider Identifier
1407800667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 626
- Practice address
- 95-720 Lanikuhana Ave
140
Mililani, HI 96789-2985 - Phone
- (808) 623-6244
- Fax
- (808) 623-6414
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 626 | HI | Primary |
Addresses
Primary practice location
95-720 Lanikuhana Ave
140
Mililani, HI 96789-2985
Mailing address
95-720 Lanikuhana Ave
140
Mililani, HI 96789-2985
Phone (808) 623-6244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 626 | Other | HI | PHYSICAL THERAPY LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 626 | HI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1407800667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95-720 LANIKUHANA AVE",
"address_2": "140",
"city": "MILILANI",
"state": "HI",
"postal_code": "967892985",
"telephone_number": "808-623-6244",
"fax_number": "808-623-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95-720 LANIKUHANA AVE",
"address_2": "140",
"city": "MILILANI",
"state": "HI",
"postal_code": "967892985",
"telephone_number": "808-623-6244",
"fax_number": "808-623-6414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU-MIKI",
"first_name": "MARY",
"name_prefix": "Mrs.",
"credential": "PHYSICAL THERAPY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "HI",
"license": "626",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "626",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mililani, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.