NPIMap

Organization Active NPI

Outdoor Ohana Occupational Therapy, LLC

Doing business as Outdoor Ohana Occupational Therapy

  • Occupational Therapist
  • Kailua, HI
National Provider Identifier
1528635026
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
OUTDOOR OHANA OCCUPATIONAL THERAPY, LLC
Doing business as
Outdoor Ohana Occupational Therapy
Practice address
619 Paopua Loop
Kailua, HI 96734-3535
Phone
(510) 688-0671
NPI assigned
Jun 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Authorized official

Name
Dr. Gabrielle M White, OTD, OTR/LNPI 1205424827
Title
Founder & Occupational Therapist
Phone
(510) 688-0671

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
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

619 Paopua Loop
Kailua, HI 96734-3535

Mailing address

619 Paopua Loop
Kailua, HI 96734-3535
Phone (510) 688-0671

Other identifiers 1

IdentifierTypeStateIssuer
OT-1997OtherHISTATE OF HAWAII DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS

Other names 1

  • Outdoor Ohana Occupational Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1528635026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 PAOPUA LOOP",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343535",
            "telephone_number": "510-688-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 PAOPUA LOOP",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343535",
            "telephone_number": "510-688-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTDOOR OHANA OCCUPATIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FOUNDER & OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "510-688-0671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF HAWAII DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS",
            "identifier": "OT-1997",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outdoor Ohana Occupational Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.