Individual provider Active NPI

Peggy K Hill, PT

  • Physical Therapist
  • Kailua, HI
National Provider Identifier
1598859126
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1959 Issued in HI
Practice address
354 Uluniu Street
Suite 404
Kailua, HI 96734
Phone
(808) 262-1118
Fax
(808) 262-0045
NPI assigned
Oct 3, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT1959 HI Primary

Addresses

Primary practice location

354 Uluniu Street
Suite 404
Kailua, HI 96734

Mailing address

354 Uluniu St
Ste 404
Kailua, HI 96734-2534
Phone (808) 262-1118

Other identifiers 11

IdentifierTypeStateIssuer
204196700OtherHIOWCP
506371OtherHIHMA
0243048OtherHIHNL HMSA PPO/HMO/QST/65C
0681318OtherHIUHA 99-0332020
54014701MedicaidHI
0243048OtherHITRICARE HNL
A0243046OtherHIKAI HMSA PPO/HMO/QST/65C
54014700OtherHIALOHA CARE
54014702MedicaidHI
99-0332020OtherHIHMAA
A0243046OtherHITRICARE KAI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060323000309 HI Practitioner - Physical Therapist in Private Practice 2062420664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
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)

155 Hamakua Dr
Suite B
Kailua, HI 96734-2849
Phone (808) 261-8931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT1959HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kailua Physical Therapy Clinic, Inc CurrentSince Jul 1, 2023 Accepting new patients
Herbert K M Yee PT LLC Physical Therapist CurrentSince Oct 15, 2019 Accepting new patients
Moon Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

1314 S King St
Ste 1455
Honolulu, HI 96814
Phone (808) 348-3763

155 Hamakua Dr
Ste B
Kailua, HI 96734
Phone (808) 261-8931

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1598859126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 ULUNIU ST",
            "address_2": "STE 404",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342534",
            "telephone_number": "808-262-1118",
            "fax_number": "808-262-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 ULUNIU STREET",
            "address_2": "SUITE 404",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "96734",
            "telephone_number": "808-262-1118",
            "fax_number": "808-262-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "PEGGY",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT1959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "204196700",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA",
            "identifier": "506371",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HNL HMSA PPO/HMO/QST/65C",
            "identifier": "0243048",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA 99-0332020",
            "identifier": "0681318",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54014701",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE HNL",
            "identifier": "0243048",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAI HMSA PPO/HMO/QST/65C",
            "identifier": "A0243046",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHA CARE",
            "identifier": "54014700",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54014702",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMAA",
            "identifier": "99-0332020",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE KAI",
            "identifier": "A0243046",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.