NPIMap

Organization Active NPI

Rehabilitation and Orthopedic Center of Kauai

Doing business as R.O.C.K. Physical Therapy

  • Physical Therapy Clinic/Center
  • Kalaheo, HI
National Provider Identifier
1538523311
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
3186 Issued in HI
Legal business name
REHABILITATION AND ORTHOPEDIC CENTER OF KAUAI
Doing business as
R.O.C.K. Physical Therapy
Practice address
2-2514 Kaumualii Hwy
211
Kalaheo, HI 96741-8303
Phone
(808) 495-8668
Fax
(808) 495-8669
NPI assigned
Apr 7, 2016
Last updated
Apr 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Authorized official

Name
Dr. Jesse Roger Pasag, D.P.T., O.C.S.NPI 1962699694
Title
Owner/Physical Therapist
Phone
(808) 495-8668

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 3186 HI Primary
Physical Therapy Clinic/Center 261QP2000X 3128 HI

Addresses

Primary practice location

2-2514 Kaumualii Hwy
211
Kalaheo, HI 96741-8303

Mailing address

2-2514 Kaumualii Hwy
211
Kalaheo, HI 96741-8303
Phone (808) 495-8668

Other names 1

  • R.O.C.K. Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160627002113 HI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012208739 Receives reassigned benefits from 3 practitioners
Practice locations: Kalaheo, HI

National Provider Directory

National Provider Directory

Locations

2-2514 Kaumualii Hwy
Ste 211
Kalaheo, HI 96741
Phone (808) 495-8668

Practitioners & affiliated clinicians

Practitioners 4

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": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1538523311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2-2514 KAUMUALII HWY",
            "address_2": "211",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967418303",
            "telephone_number": "808-495-8668",
            "fax_number": "808-495-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-2514 KAUMUALII HWY",
            "address_2": "211",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967418303",
            "telephone_number": "808-495-8668",
            "fax_number": "808-495-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION AND ORTHOPEDIC CENTER OF KAUAI",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "PASAG",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "808-495-8668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T., O.C.S."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "HI",
            "license": "3186",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "HI",
            "license": "3128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R.O.C.K. Physical Therapy",
            "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 Apr 22, 2016; 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.