Kilauea Rehab, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KILAUEA REHAB, INC.

Practice address

333 Kilauea Ave
Hilo, HI 96720-3013

Phone

(808) 961-3505

Fax

(808) 961-6505

NPI assigned

Sep 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Eric M. Tulman, R.P.T.NPI 1790794980

Title

President

Phone

(808) 961-0058

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

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.

• Eric Mark Tulman, R.P.T.

  • Physical Therapist
  • Hilo, HI
  • NPI 1790794980
  NPD (past) Authorized official
• Mathew Sherred Byers, RPT

  • Physical Therapist
  • Hilo, HI
  • NPI 1023121886
  NPD (past)
• Brian Ackley Smith, P.T.

  • Physical Therapist
  • Hilo, HI
  • NPI 1477713923
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558467159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967210487",
            "telephone_number": "808-961-3505",
            "fax_number": "808-935-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 KILAUEA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203013",
            "telephone_number": "808-961-3505",
            "fax_number": "808-961-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILAUEA REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TULMAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-961-0058",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PIN NUMBER",
            "identifier": "H100409",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Vassileyevich Khrapov, DDS
• Nikki Haunani Kiakona
• Kids Behavioral Health of Hawaii, Inc. (Acadia Hawaii)
• Paul Kielty
• Leanne A.Y. Kihara, APRN
• Diana Kilguss
• Edythe L. Kim, P.T.
• Jennifer Pasion Kim
• John J Kim, D.C.
• Michelle Saori Kim, PHARMD

• Physical Therapy Clinic/Center in Hilo, HI
• Providers in Hilo, HI by specialty
• Physical Therapy Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.