Individual provider Active NPI

Sandra I Pascal, PHYSICAL THERAPIST

  • Physical Therapist
  • Kaneohe, HI
National Provider Identifier
1467649947
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT339 Issued in HI
Practice address
46-310 Hoauna St
Kaneohe, HI 96744-4124
Phone
(808) 247-2472
Fax
(808) 247-2488
NPI assigned
Sep 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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 PT339 HI Primary

Addresses

Primary practice location

46-310 Hoauna St
Kaneohe, HI 96744-4124

Mailing address

46-310 Hoauna St
Kaneohe, HI 96744-4124
Phone (808) 247-2472

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001471 HI Practitioner - Physical Therapist in Private Practice 9931099090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

46 -310 Hoauna St
Kaneohe, HI 96744-4124
Phone (808) 247-2472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT339HIMDPhysical Therapist
339HIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Therapists and Homecare on Call Inc Physical Therapist CurrentSince May 1, 1995 Accepting new patients

Locations

46-005 Kawa St
Ste 104
Kaneohe, HI 96744
Phone (808) 235-8805

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1467649947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-310 HOAUNA ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967444124",
            "telephone_number": "808-247-2472",
            "fax_number": "808-247-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-310 HOAUNA ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967444124",
            "telephone_number": "808-247-2472",
            "fax_number": "808-247-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCAL",
        "first_name": "SANDRA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.