Active NPI
Faith A Dandeneau, PT
- Physical Therapist
- Kapolei, HI
National Provider Identifier
1538308697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2792
- Practice address
- 599 Farrington Hwy Ste 208
Kapolei, HI 96707-2028 - Phone
- (808) 674-1142
- NPI assigned
- Feb 13, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2792 | HI | Primary |
Addresses
Primary practice location
599 Farrington Hwy Ste 208
Kapolei, HI 96707-2028
Mailing address
524 Harton Cir
Virginia Beach, VA 23452-3504
Phone (713) 899-7770
Other practice location 1
397 Little Neck Rd Ste 100
Virginia Beach, VA 23452-5764
Phone (808) 778-2227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210310002347 | VA | Practitioner - Physical Therapist in Private Practice | 7810045598 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pt2Go LLC
Practice addresses (Care Compare)
752 Southleaf Dr
Virginia Beach, VA 23462-4749
Phone (757) 222-2230
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2792 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vim LLC | Physical Therapist | Current | Accepting new patients |
| PT Hawaii, Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1083480651
-
- Orthopedic Physical Therapist
- Waipahu, HI
- NPI 1598718181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1538308697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 HARTON CIR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234523504",
"telephone_number": "713-899-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "599 FARRINGTON HWY STE 208",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072028",
"telephone_number": "808-674-1142"
}
],
"practiceLocations": [
{
"address_1": "397 Little Neck Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234525764",
"country_code": "US",
"telephone_number": "808-778-2227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANDENEAU",
"first_name": "FAITH",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-13",
"last_updated": "2021-03-09",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "2792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kapolei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.