Organization Active NPI

Mauka Movement LLC

  • Physical Therapy Clinic/Center
  • Kealakekua, HI
National Provider Identifier
1609332972
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MAUKA MOVEMENT LLC
Practice address
81-965 Halekii St Ste C
Kealakekua, HI 96750-8164
Phone
(606) 347-4986
NPI assigned
Feb 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Stephanie Nessvig Vanhoff, DPTNPI 1619161197
Title
DPT/Owner
Phone
(608) 347-4986

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
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

81-965 Halekii St Ste C
Kealakekua, HI 96750-8164

Mailing address

81-965 Halekii St Ste C
Kealakekua, HI 96750-8164

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190607000119 HI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2860725710 Receives reassigned benefits from 1 practitioner
Practice locations: Kealakekua, HI

National Provider Directory

National Provider Directory

Locations

81-965 Halekii St
Ste C
Kealakekua, HI 96750
Phone (606) 347-4986

81-964 Halekii St
Kealakekua, HI 96750
Phone (606) 347-4986

81-964 Halekii St
Bldg 4C
Kealakekua, HI 96750
Phone (808) 339-7788

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": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1609332972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81-965 HALEKII ST STE C",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967508164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81-965 HALEKII ST STE C",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967508164",
            "telephone_number": "606-347-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUKA MOVEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "VANHOFF",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "NESSVIG",
        "authorized_official_title_or_position": "DPT/OWNER",
        "authorized_official_telephone_number": "608-347-4986",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kealakekua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.