Active NPI
Recharge Therapy LLC
- Physical Therapy Clinic/Center
- Haleiwa, HI
National Provider Identifier
1497161772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 3108
- Legal business name
- RECHARGE THERAPY LLC
- Practice address
- 59-794 Kamehameha Hwy
#A1
Haleiwa, HI 96712-9424 - Phone
- (808) 224-5860
- Fax
- (808) 356-1719
- NPI assigned
- Jul 7, 2014
- Last updated
- Sep 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carri M Dominick, PT
- Title
- Owner/Physical Therapist
- Phone
- (808) 224-5860
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 3108 | HI | Primary |
Addresses
Primary practice location
59-794 Kamehameha Hwy
#A1
Haleiwa, HI 96712-9424
Mailing address
59-794 Kamehameha Hwy
#A1
Haleiwa, HI 96712-9424
Phone (808) 224-5860
National Provider Directory
National Provider DirectoryLocations
797 W 9th St
San Pedro, CA 90731
Phone (310) 519-1557
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Haleiwa, HI
- NPI 1245621515
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442966400000",
"number": "1497161772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59-794 KAMEHAMEHA HWY",
"address_2": "#A1",
"city": "HALEIWA",
"state": "HI",
"postal_code": "967129424",
"telephone_number": "808-224-5860",
"fax_number": "808-356-1719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59-794 KAMEHAMEHA HWY",
"address_2": "#A1",
"city": "HALEIWA",
"state": "HI",
"postal_code": "967129424",
"telephone_number": "808-224-5860",
"fax_number": "808-356-1719"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECHARGE THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-07",
"last_updated": "2015-09-23",
"status": "A",
"authorized_official_last_name": "DOMINICK",
"authorized_official_first_name": "CARRI",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "808-224-5860",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "HI",
"license": "3108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haleiwa, HI
- Kehau Plemer, M.S. CCC-SLP
- Elizabeth Porter
- Jennae Marie Porter, PA-C
- McCall Prentice
- Queen's Development Corporation & Subsidiaries
- Lauren Alicia Reinert, MS, ATC, CSCS
- Jacquelyn Victoria Vaughan Reiser, D.P.T.
- Rite of Passage Inc (Pearl Haven)
- Megan Louise Salgado, LCSW, CSAC
- Mark Timothy Schmalz, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.