MPT Windward LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

MPT WINDWARD LLC

Practice address

201 Hamakua Dr # C102
Kailua, HI 96734-3984

Phone

(808) 597-1005

NPI assigned

May 27, 2021

Last updated

May 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joanna Davis

Title

Biller

Phone

(808) 823-0103

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1619543998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HAMAKUA DR # C102",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343984",
            "telephone_number": "808-597-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HAMAKUA DR # C102",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343984",
            "telephone_number": "808-597-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPT WINDWARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "808-823-0103"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayna Carmen Mortensen, MHC
• Mellisa Lynn Mortensen
• Jennifer Joyce Mospens, LMFT
• Kristen Alise Mowrey, M.S.C.P., L.M.H.C.
• Jennifer Melynn Mowry, LPN
• Ashley Mull
• Ashley Brooke Mullica, LCSW
• Jamalah Adeeba Munir, MD
• Sean W Munnelly, MD
• Lindsey Murakami

• Physical Medicine & Rehabilitation Physician in Kailua, HI
• Providers in Kailua, HI by specialty
• Physical Medicine & Rehabilitation Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.