Tracey Lea Villiger, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT691 Issued in HI

Practice address

1020 Keolu Dr
C 7-a
Kailua, HI 96734-3845

Phone

(808) 261-9792

Fax

(808) 262-8600

NPI assigned

Nov 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kailua Physical Therapy Clinic, IncGroup PAC ID 0042293763, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kailua Physical Therapy Clinic, Inc

  • Specialist
  • Kailua, HI
  • NPI 1003004896
  Medicare reassignment Care Compare group
• Windward Rehabilitation Services, LLC

  • Physical Therapist
  • Kailua, HI
  • NPI 1588697932
  NPD

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598830457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 KEOLU DR",
            "address_2": "C 7-A",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343845",
            "telephone_number": "808-261-9792",
            "fax_number": "808-262-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 KEOLU DR",
            "address_2": "C 7-A",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343845",
            "telephone_number": "808-261-9792",
            "fax_number": "808-262-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLIGER",
        "first_name": "TRACEY",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55424701",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Scott Verschell, PSY.D.
• Susan M Vicenti, MD
• Sanae Vierra, LMT
• Jakriz Villahermosa, BCBA
• Victoria Villalba
• Seul Ki Villoria
• Judy Makowski Vincent, M.D.
• Kayla Yukie Vincent
• Virtual Bcba LLC
• Vision Source Kailua- LLC

• Physical Therapist in Kailua, HI
• Providers in Kailua, HI by specialty
• Physical Therapist in Hawaii

• 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.