Active NPI
Laura Putts, PT
- Physical Therapist
- Wailuku, HI
National Provider Identifier
1639284532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-1092
- Practice address
- 55 Mauilani Pkwy
Wailuku, HI 96793-2416 - Phone
- (808) 243-6681
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 | PT-1092 | HI | Primary |
Addresses
Primary practice location
55 Mauilani Pkwy
Wailuku, HI 96793-2416
Mailing address
55 Mauilani Pkwy
Wailuku, HI 96793-2416
Phone (808) 243-6681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03507802 | Medicaid | HI |
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 |
|---|---|---|---|
| PT-1092 | HI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1639284532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MAUILANI PKWY",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932416",
"telephone_number": "808-243-6681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MAUILANI PKWY",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932416",
"telephone_number": "808-243-6681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTTS",
"first_name": "LAURA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT-1092",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03507802",
"state": "HI"
}
],
"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 Oct 9, 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.