NPIMap

Organization Active NPI

Manoa Therapeutic Center

  • Public Health or Welfare Agency
  • Honolulu, HI
National Provider Identifier
1609175132
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
2342 Issued in HI
Legal business name
MANOA THERAPEUTIC CENTER
Practice address
2961 E Manoa Rd Ste B
Honolulu, HI 96822-6810
Phone
(808) 988-7778
NPI assigned
Mar 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Authorized official

Name
Ms. Sarah Bryony Prebble, LMTNPI 1407164072
Title
Ceo
Phone
(808) 988-7778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 2342 HI Primary

Addresses

Primary practice location

2961 E Manoa Rd Ste B
Honolulu, HI 96822-6810

Mailing address

2961 E Manoa Rd Ste B
Honolulu, HI 96822-6810
Phone (808) 988-7778

National Provider Directory

National Provider Directory

Locations

2961 East Manoa Rd
Ste B
Honolulu, HI 96822
Phone (808) 988-7778

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1609175132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 E MANOA RD STE B",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968226810",
            "telephone_number": "808-988-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 E MANOA RD STE B",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968226810",
            "telephone_number": "808-988-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOA THERAPEUTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "PREBBLE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "BRYONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-988-7778",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "HI",
            "license": "2342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.