Active NPI
Virginia H Zarsadias, PT
- Physical Therapist
- Kapolei, HI
National Provider Identifier
1568479343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1715
- Practice address
- 1001 Kamokila Blvd
Suite 111 JCB
Kapolei, HI 96707-2014 - Phone
- (808) 674-9595
- Fax
- (808) 674-9696
- NPI assigned
- Aug 2, 2006
- Last updated
- Jul 8, 2007
- 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 | 1715 | HI | Primary |
Addresses
Primary practice location
1001 Kamokila Blvd
Suite 111 JCB
Kapolei, HI 96707-2014
Mailing address
1001 Kamokila Blvd
Suite 111 JCB
Kapolei, HI 96707-2014
Phone (808) 674-9595
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000256123 | Other | HI | HMSA |
| 57435201 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1715 | HI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warfighter's Clinic | Past | Accepting new patients | |
| Elam Sports, Inc | Physical Therapist | Past | Accepting new patients |
| Total Fitness Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Elam Sports, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568479343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 KAMOKILA BLVD",
"address_2": "SUITE 111 JCB",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072014",
"telephone_number": "808-674-9595",
"fax_number": "808-674-9696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 KAMOKILA BLVD",
"address_2": "SUITE 111 JCB",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072014",
"telephone_number": "808-674-9595",
"fax_number": "808-674-9696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZARSADIAS",
"first_name": "VIRGINIA",
"middle_name": "H",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "1715",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "0000256123",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "57435201",
"state": "HI"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.