Individual provider Active NPI

Debra Leslie Lerman, P.T.

  • Physical Therapist
  • Kailua Kona, HI
National Provider Identifier
1447356043
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2264 Issued in HI
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, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
575475-02MedicaidHI
575475-01MedicaidHI

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

LicenseStateTypeSpecialty
2264HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
High Country Early Intervention Inc Physical Therapist PastSince Sep 9, 2019 Accepting new patients
Orthosports Physical Therapy PastSince Nov 1, 2015 Accepting new patients
Arizona Orthosports Physical Therapy, Inc Physical Therapist PastSince Sep 1, 2006 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.

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.

Verify at the official NPI Registry.