Organization Active NPI

Hawaii Physical Therapy & Chiropractic Clinic, Inc.

  • Physical Therapist
  • Hilo, HI
National Provider Identifier
1407925753
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC597 HI
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
03304301MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100825000067 HI Part B Supplier - Clinic/Group Practice 2961526165 Receives reassigned benefits from 4 practitioners
Practice locations: Hilo, HI

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.