Active NPI
Albert Lucas Dreith, P.T.
- Physical Therapist
- Honolulu, HI
National Provider Identifier
1639221468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 872
- Practice address
- 1329 Lusitana St
Suite 501
Honolulu, HI 96813-2429 - Phone
- (808) 531-2002
- Fax
- (808) 566-0375
- NPI assigned
- Jan 18, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 872 | HI | Primary |
Addresses
Primary practice location
1329 Lusitana St
Suite 501
Honolulu, HI 96813-2429
Mailing address
1329 Lusitana St
Suite 501
Honolulu, HI 96813-2429
Phone (808) 531-2002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A020475-8 | Other | HI | HMSA PROVIDER # |
| 99-033276 | Other | FEDERAL TAX ID# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 872 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthosport Physical Therapy | Current | Accepting new patients |
Locations
5722 Kalanianaole Hwy
Honolulu, HI 96821
Phone (808) 373-1114
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Honolulu, HI
- NPI 1467897371
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Honolulu, HI
- NPI 1811585524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639221468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 LUSITANA ST",
"address_2": "SUITE 501",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132429",
"telephone_number": "808-531-2002",
"fax_number": "808-566-0375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 LUSITANA ST",
"address_2": "SUITE 501",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132429",
"telephone_number": "808-531-2002",
"fax_number": "808-566-0375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREITH",
"first_name": "ALBERT",
"middle_name": "LUCAS",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "872",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA PROVIDER #",
"identifier": "A020475-8",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID#",
"identifier": "99-033276",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.