Jewan Jernaill, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

973 Issued in HI

Practice address

430 Kele St
Ste 401
Kahului, HI 96732-3406

Phone

(808) 871-0900

Fax

(808) 871-9119

NPI assigned

Oct 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy and Wellness Center of Maui LLCGroup PAC ID 6608767413, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physical Therapy and Wellness Center of Maui LLC

  • Physical Therapist
  • Kahului, HI
  • NPI 1578623211
  Medicare reassignment Care Compare group NPD
• Holo Mua LLC

  • Physical Therapy Clinic/Center
  • Makawao, HI
  • NPI 1942396379
  NPD (past) Authorized official
• Elite Physical Therapy and Sports

  • Physical Therapist
  • Makawao, HI
  • NPI 1235180811
  NPD (past)

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1467545707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 KELE ST",
            "address_2": "STE 401",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323406",
            "telephone_number": "808-871-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 KELE ST",
            "address_2": "STE 401",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323406",
            "telephone_number": "808-871-0900",
            "fax_number": "808-871-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERNAILL",
        "first_name": "JEWAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Janes, LMT
• Jarrett Surgery LLC
• Julia Jeffery, PHARMD
• Leilani Marie Jeremiah, LMT
• Dawn Jernaill
• Joanna Mullikin
• Joanne Godley MD Inc
• Jocelyn U Chang DO Inc
• Megin S John, DPT
• Tenniel M Johnson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.