PT Hawaii, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2025 Issued in HI

Legal business name

PT HAWAII, INC

Practice address

91-2139 Fort Weaver Rd
202
Ewa Beach, HI 96706-3607

Phone

(808) 677-5110

Fax

(808) 671-2931

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Richard H Grover

Title

Chief Financial Officer

Phone

(808) 227-4900

Specialties & licenses 1

Addresses

Other identifiers 4

Tax ID family

PT Hawaii Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• P.T. Hawaii, Inc

  • Physical Therapist
  • Waipahu, HI
  • NPI 1699720615
  NPD tax ID
• PT Hawaii, Inc.

  • Orthopedic Physical Therapist
  • Waipahu, HI
  • NPI 1598718181
  NPD tax ID

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639124654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-2135 FORT WEAVER ROAD",
            "address_2": "SUITE 170",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061929",
            "telephone_number": "808-676-5331",
            "fax_number": "808-671-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2139 FORT WEAVER RD",
            "address_2": "202",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063607",
            "telephone_number": "808-677-5110",
            "fax_number": "808-671-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT HAWAII, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "808-227-4900"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT2025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA QUEST",
            "identifier": "0000231688",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/HMSA",
            "identifier": "00A0231686",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52633701",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA 65C",
            "identifier": "0000231688",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Jo Prince, BS, GCMHP
• Denise Marie Pronesti, APRN
• Bryscen Prothero, APRN-RX, PNP
• Joy Anna Pryor, PMHNP
• PSH KM LLC
• Kenneth C. Pugh, PH.D.
• Amanda Pump, MS HUMAN SERVICES
• Donald E. Pump, MS, ACSM-CEP
• Alexander Quach
• Franciska Quan, RN

• Physical Therapist in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.