Grace A Rico, PT, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 3378 Issued in HI

Practice address

45-691 Keaahala Rd RM 30
Kaneohe, HI 96744-3569

Phone

(808) 233-5495

Fax

(808) 233-5494

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Windward Early Childhood Services Program

  • Early Intervention Provider Agency
  • Kaneohe, HI
  • NPI 1669738027
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1467586891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58-200 NAPOONALA PL",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967128707",
            "telephone_number": "808-638-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-691 KEAAHALA RD RM 30",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443569",
            "telephone_number": "808-233-5495",
            "fax_number": "808-233-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICO",
        "first_name": "GRACE",
        "middle_name": "A",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1145522",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT 3378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanelle Respress, MS
• Restore Counseling LLC
• Michael Rethman
• Jason Revestir, DDS
• Robyn L Richard, PHARMD
• Julie Riley
• Michaela Rinkel, PHD, LCSW
• Karen Sue Ritchie, M.D.
• Warren Robbins, LCSW
• Jenis Robinson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.