NPIMap

Organization Active NPI

Kilohana Physical Therapy, LLC

  • Physical Therapist
  • Wailuku, HI
National Provider Identifier
1629369244
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1131 Issued in HI
Legal business name
KILOHANA PHYSICAL THERAPY, LLC
Practice address
829 Haawi St
Wailuku, HI 96793-8353
Phone
(808) 446-6382
NPI assigned
Apr 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Bridget Velasco, PTNPI 1851537567
Title
Sole Member
Phone
(808) 446-6382

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1131 HI Primary

Addresses

Primary practice location

829 Haawi St
Wailuku, HI 96793-8353

Mailing address

829 Haawi St
Wailuku, HI 96793-8353
Phone (808) 446-6382

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1629369244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 HAAWI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967938353",
            "telephone_number": "808-446-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 HAAWI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967938353",
            "telephone_number": "808-446-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILOHANA PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "VELASCO",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "808-446-6382",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "1131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.