NPIMap

Organization Active NPI

Kauai Independent Rehabilitation Associates, LLC

Doing business as Ohana Sports Medicine

  • Physical Therapist
  • Kalaheo, HI
National Provider Identifier
1508959339
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KAUAI INDEPENDENT REHABILITATION ASSOCIATES, LLC
Doing business as
Ohana Sports Medicine
Practice address
2-2488 Kaumualii Hwy
Kalaheo, HI 96741-8311
Phone
(808) 335-5808
Fax
(808) 335-5657
NPI assigned
Oct 2, 2006
Last updated
Jan 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Daniel E. Schaal, P.T.NPI 1871699827
Title
Owner
Phone
(808) 335-5808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2-2488 Kaumualii Hwy
Kalaheo, HI 96741-8311

Mailing address

2-2488 Kaumualii Hwy
Kalaheo, HI 96741-8311
Phone (808) 335-5808

Other names 1

  • Ohana Sports Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060116000378 HI Part B Supplier - Clinic/Group Practice 7315961596 Receives reassigned benefits from 12 practitioners
Practice locations: Kapaa, HI; Lihue, HI; Kalaheo, HI

National Provider Directory

National Provider Directory

Locations

4359 Kukui Grove St
Ste 102
Lihue, HI 96766
Phone (808) 378-4151

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1508959339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2-2488 KAUMUALII HWY",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967418311",
            "telephone_number": "808-335-5808",
            "fax_number": "808-335-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-2488 KAUMUALII HWY",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967418311",
            "telephone_number": "808-335-5808",
            "fax_number": "808-335-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUAI INDEPENDENT REHABILITATION ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "SCHAAL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-335-5808",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohana Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalaheo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.