Active NPI
Hawaii Physical Therapy & Chiropractic Clinic, Inc.
- Physical Therapist
- Hilo, HI
National Provider Identifier
1407925753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT742
- 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
- Organization subpart
- No
NPPES NPI Registry
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.
- Title
- President, Clinical Director
- Phone
- (808) 961-5663
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC597 | HI | |
| Physical Therapist | 225100000X | PT742 | HI | Primary |
Addresses
Primary practice location
261 Waianuenue Avenue
Hilo, HI 96720-2438
Mailing address
261 Waianuenue Avenue
Hilo, HI 96720-2438
Phone (808) 961-5663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03304301 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100825000067 | HI | Part B Supplier - Clinic/Group Practice | 2961526165 |
Receives reassigned benefits from 4 practitioners Practice locations: Hilo, HI |
National Provider Directory
National Provider DirectoryLocations
474 Laukapu St
Ste 102
Hilo, HI 96720
Phone (808) 961-5663
1059 Kilauea Ave
Fl 2
Hilo, HI 96720
Phone (808) 961-5663
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rehabilitation Chiropractor
- Hilo, HI
- NPI 1104009554
HI, Physical Therapist
-
- Specialist
- Hilo, HI
- NPI 1306177373
NPI Registry JSON
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03304301",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
- Hawaii Island Radiation Oncology LTD
- Hawaii Island Radiation Oncology, LTD
- Hawaii Life Flight, LLC
- Hawaii Naturopathic Retreat Center, Inc.
- Hawaii Pacific Oncology Center
- Hawaii Physicians Association LLC
- Hawaii Post-Acute Medical Services 1 Inc
- Hawaii Radiologic Associates, LTD.
- Hawaii Shoulder and Orthopedic Institute LLC
- Hawaii Smile Designs LLC
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.