Organization Active NPI

Hawaii Sports and Balance Center

  • Physical Therapist
  • Lihue, HI
National Provider Identifier
1639333180
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2583 Issued in HI
Legal business name
HAWAII SPORTS AND BALANCE CENTER
Practice address
3088A Aukele St
Lihue, HI 96766-1464
Phone
(808) 634-7055
NPI assigned
Jul 14, 2008
Last updated
Aug 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Authorized official

Name
Meynard EnriquezNPI 1689651002
Title
Owner
Phone
(808) 634-7055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2583 HI Primary

Addresses

Primary practice location

3088A Aukele St
Lihue, HI 96766-1464

Mailing address

PO Box 288
Lihue, HI 96766-0288

National Provider Directory

National Provider Directory

Locations

5633 Kawaihau Rd
Kapaa, HI 96746

5633 Kawaihau Rd
#2A12
Kapaa, HI 96746
Phone (808) 632-0033

5633 Kawaihau Rd
Bldg 2A12
Kapaa, HI 96746
Phone (808) 378-4477

3088 Aukele St
Lihue, HI 96766
Phone (808) 632-0033

3088 Aukele St
Ste A
Lihue, HI 96766
Phone (808) 632-0033

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1639333180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 288",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967660288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3088A AUKELE ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661464",
            "telephone_number": "808-634-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII SPORTS AND BALANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "ENRIQUEZ",
        "authorized_official_first_name": "MEYNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-634-7055"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.