NPIMap

Kauai Independent Rehabilitation Associates, LLC

Organization Active NPI Physical Therapist · Kalaheo, HI

NPI 1508959339 · NPPES record last updated Jan 23, 2013

Key facts

NPI
1508959339
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
KAUAI INDEPENDENT REHABILITATION ASSOCIATES, LLC
Practice address
2-2488 Kaumualii Hwy
Kalaheo, HI 96741-8311
Phone
(808) 335-5808
Fax
(808) 335-5657
NPI assigned
Oct 2, 2006
Organization subpart
No

Authorized official

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

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

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 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in HI

Medicare enrollment records

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

Locations

4359 Kukui Grove St
Ste 102
Lihue, HI 96766
Phone (808) 431-4655

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP		 225100000X Yes

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

  • Ohana Sports Medicine Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 23, 2013.

{
    "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

All providers in Kalaheo, HI · Physical Therapist in Hawaii

Sources for this page

Verify at the official NPI Registry.