NPIMap

Organization Active NPI

Chart Rehabilitation of Hawaii Inc

  • Physical Therapist
  • Waipahu, HI
National Provider Identifier
1619085859
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CHART REHABILITATION OF HAWAII INC
Practice address
94-810 Moloalo St
220
Waipahu, HI 96797-3355
Phone
(808) 671-1711
Fax
(808) 671-1705
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Mr. Kevin Michael Takaki
Title
Vice President Administration
Phone
(808) 523-9043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

94-810 Moloalo St
220
Waipahu, HI 96797-3355

Mailing address

826 S King St
Honolulu, HI 96813-3009
Phone (808) 523-9043

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070314000321 HI Part B Supplier - Clinic/Group Practice 9436154499 Receives reassigned benefits from 15 practitioners
Practice locations: Honolulu, HI; Waipahu, HI

National Provider Directory

National Provider Directory
Tax ID family
Chart Rehabilitation of Hawaii2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1357 Kapiolani Blvd
Ste 800
Honolulu, HI 96814
Phone (808) 523-9043

826 S King St
Honolulu, HI 96813
Phone (808) 523-9043

94-810 Moloalo St
#220
Waipahu, HI 96797
Phone (808) 671-1711

Practitioners & affiliated clinicians

Practitioners 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1619085859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133009",
            "telephone_number": "808-523-9043",
            "fax_number": "808-526-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-810 MOLOALO ST",
            "address_2": "220",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973355",
            "telephone_number": "808-671-1711",
            "fax_number": "808-671-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHART REHABILITATION OF HAWAII INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "TAKAKI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT ADMINISTRATION",
        "authorized_official_telephone_number": "808-523-9043",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.