Vanessa S Dasalla

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2426 Issued in HI

Practice address

95-720 Lanikuhana Ave
140
Mililani, HI 96789-2985

Phone

(808) 623-6244

Fax

(808) 623-6414

NPI assigned

Jul 1, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Vanessa S Valiente Former name

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mililani Physical Therapy LLCGroup PAC ID 9436048881, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mililani Physical Therapy LLC

  • Physical Therapist
  • Mililani, HI
  • NPI 1902831498
  Medicare reassignment Care Compare group NPD
• Fukuji & Lum Physical Therapy Associates Inc.

  • Physical Therapist
  • Kailua, HI
  • NPI 1205922812
  NPD (past)
• Portner Orthopedic Rehabilitation Incorporated

  • Physical Medicine & Rehabilitation Physician
  • Kaneohe, HI
  • NPI 1316087315
  NPD (past)

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1639308364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-720 LANIKUHANA AVE",
            "address_2": "140",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892985",
            "telephone_number": "808-623-6244",
            "fax_number": "808-623-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-720 LANIKUHANA AVE",
            "address_2": "140",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892985",
            "telephone_number": "808-623-6244",
            "fax_number": "808-623-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASALLA",
        "first_name": "VANESSA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "VALIENTE",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Celina Dahl
• Daily Mind Wellness, LLC
• Jonathan Dalmacio
• Andrew W.Y. Dang, M.D.
• Danielle Hodges PSYD LLC
• Susel Datil
• David E Lum DDS LLC
• David L. Nash, PHD
• Glenn Davis
• Madison Davis

• Physical Therapist in Mililani, HI
• Providers in Mililani, 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 31, 2013; 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.