Active NPI
Debra Leslie Lerman, P.T.
- Physical Therapist
- Kailua Kona, HI
National Provider Identifier
1447356043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2264
- Practice address
- 75-5699 Kopiko St
Kailua Kona, HI 96740-1668 - Phone
- (808) 329-7744
- Fax
- (808) 334-1608
- NPI assigned
- Sep 15, 2006
- Last updated
- Feb 25, 2008
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2264 | HI | Primary |
Addresses
Primary practice location
75-5699 Kopiko St
Kailua Kona, HI 96740-1668
Mailing address
75-5660 Kopiko St # Poc7-138
Kailua Kona, HI 96740-3611
Phone (808) 896-5118
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 575475-02 | Medicaid | HI | |
| 575475-01 | Medicaid | HI |
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 |
|---|---|---|---|
| 2264 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Country Early Intervention Inc | Physical Therapist | Past | Accepting new patients |
| Orthosports Physical Therapy | Past | Accepting new patients | |
| Arizona Orthosports Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
| Club Rehab, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1144332107
Physical Therapist
-
- Physical Therapy Clinic/Center
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- NPI 1265808240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203897600000",
"number": "1447356043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75-5660 KOPIKO ST # POC7-138",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967403611",
"telephone_number": "808-896-5118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-5699 KOPIKO ST",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401668",
"telephone_number": "808-329-7744",
"fax_number": "808-334-1608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LERMAN",
"first_name": "DEBRA",
"middle_name": "LESLIE",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2008-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "2264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "575475-02",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "575475-01",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.