Individual provider Active NPI

Shirleen Flores, PT

  • Physical Therapist
  • Waipahu, HI
National Provider Identifier
1558313635
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2015 Issued in HI
Practice address
94-229 Waipahu Depot St
Suite 304
Waipahu, HI 96797-3031
Phone
(808) 391-7678
Fax
(808) 678-2655
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2015 HI Primary
Physical Therapist 225100000X 022645-1 NY

Addresses

Primary practice location

94-229 Waipahu Depot St
Suite 304
Waipahu, HI 96797-3031

Mailing address

PO Box 970277
Waipahu, HI 96797-0277
Phone (808) 381-4574

Other identifiers 1

IdentifierTypeStateIssuer
549264MedicaidHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041213000682 HI Practitioner - Physical Therapist in Private Practice 0042109506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waipahu Therapy Center LLPGroup PAC ID 0547159006, 5 clinicians

Practice addresses (Care Compare)

94 -229 Waipahu Depot St
Suite 304
Waipahu, HI 96797-3033
Phone (808) 391-7678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2015HIMDPhysical Therapist
022645-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Waipahu Therapy Center, LLP Physical Therapist CurrentSince Jul 7, 2003 Accepting new patients

Locations

1 N King St
Honolulu, HI 96817

2024 N King St
Ste 109
Honolulu, HI 96819
Phone (808) 391-7678

94-229 Waipahu Depot St
Ste 304
Waipahu, HI 96797
Phone (808) 391-7678

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558313635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970277",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967970277",
            "telephone_number": "808-381-4574",
            "fax_number": "808-678-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-229 WAIPAHU DEPOT ST",
            "address_2": "SUITE 304",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973031",
            "telephone_number": "808-391-7678",
            "fax_number": "808-678-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "SHIRLEEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2015",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022645-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "549264",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.