Hawaii Physical Therapy & Chiropractic Clinic, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT742 Issued in HI

Legal business name

HAWAII PHYSICAL THERAPY & CHIROPRACTIC CLINIC, INC.

Practice address

261 Waianuenue Avenue
Hilo, HI 96720-2438

Phone

(808) 961-5663

Fax

(808) 969-3767

NPI assigned

Nov 8, 2006

Last updated

Aug 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Harvelee Healani Leite - Ah Yo, R,P.T., D.C.NPI 1104009554

Title

President, Clinical Director

Phone

(808) 961-5663

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407925753. Details of each certification follow.

• CCN 126509 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 126509

Legal name

HAWAII PHYSICAL THERAPY AND CHIROPRACTIC CLINIC

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Jun 12, 1997

Last certification

Oct 3, 2007

Ownership / control type

Proprietary

Facility address

261 Waianuenue Avenue
Hilo, HI 96720

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harvelee Healani Leite - Ah Yo, D.C., R.P.T.

  • Rehabilitation Chiropractor
  • Hilo, HI
  • NPI 1104009554

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Kanani Joshua Leite-Ah Yo, DPT

  • Physical Therapist
  • Hilo, HI
  • NPI 1427484153
  Medicare reassignment Care Compare group NPD
• Linda Rose Loewenherz, RPT

  • Physical Therapist
  • Hilo, HI
  • NPI 1912010786
  Medicare reassignment Care Compare group NPD
• Kristyellen M Kobashigawa, LMT

  • Specialist
  • Hilo, HI
  • NPI 1306177373
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1407925753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 WAIANUENUE AVENUE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202438",
            "telephone_number": "808-961-5663",
            "fax_number": "808-969-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 WAIANUENUE AVENUE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202438",
            "telephone_number": "808-961-5663",
            "fax_number": "808-969-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII PHYSICAL THERAPY & CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "LEITE - AH YO",
        "authorized_official_first_name": "HARVELEE",
        "authorized_official_middle_name": "HEALANI",
        "authorized_official_title_or_position": "PRESIDENT, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "808-961-5663",
        "authorized_official_credential": "R,P.T., D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC597",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hawaii Island Radiation Oncology LTD
• Hawaii Island Radiation Oncology, LTD
• Hawaii Life Flight, LLC
• Hawaii Naturopathic Retreat Center, Inc. (Aloha Wellness Center)
• Hawaii Pacific Oncology Center
• Hawaii Physicians Association LLC (East Hawaii Medical Clinic)
• Hawaii Post-Acute Medical Services 1 Inc
• Hawaii Radiologic Associates, LTD.
• Hawaii Shoulder and Orthopedic Institute LLC
• Hawaii Smile Designs LLC (Hawaii Smile Designs)

• Physical Therapist in Hilo, HI
• Providers in Hilo, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.