Organization Active NPI

Recharge Therapy LLC

  • Physical Therapy Clinic/Center
  • Haleiwa, HI
National Provider Identifier
1497161772
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
3108 Issued in HI
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.