Individual provider Active NPI

Joanna Marie Bilancieri, DPT

  • Physical Therapist
  • Kailua, HI
National Provider Identifier
1639287063
Registry record updated May 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2007 Issued in HI
Practice address
755 Kaipii St
Kailua, HI 96734-2033
Phone
(808) 284-6550
NPI assigned
Aug 27, 2006
Last updated
May 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2007 HI Primary

Addresses

Primary practice location

755 Kaipii St
Kailua, HI 96734-2033

Mailing address

305 Uluniu St
Ste 107
Kailua, HI 96734-2549
Phone (808) 284-6550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060831000407 HI Practitioner - Physical Therapist in Private Practice 5890799951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

305 Uluniu St
Suite 107
Kailua, HI 96734-2549
Phone (808) 263-2242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2007HIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Action, Inc, CurrentSince May 5, 2006 Accepting new patients

Locations

305 Uluniu St
Ste 107
Kailua, HI 96734
Phone (808) 263-2242

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526688000000",
    "number": "1639287063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 ULUNIU ST",
            "address_2": "STE 107",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342549",
            "telephone_number": "808-284-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 KAIPII ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342033",
            "telephone_number": "808-284-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILANCIERI",
        "first_name": "JOANNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2018-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.