Active NPI
Amber M Panebianco, MPT
- Physical Therapist
- Kahului, HI
National Provider Identifier
1649335381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2052
- Practice address
- 285 W Kaahumanu Ave Ste 205
Kahului, HI 96732-1623 - Phone
- (808) 877-4663
- Fax
- (808) 873-6510
- NPI assigned
- Dec 22, 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 | 2052 | HI | Primary |
Addresses
Primary practice location
285 W Kaahumanu Ave Ste 205
Kahului, HI 96732-1623
Mailing address
PO Box 791954
Paia, HI 96779-1954
Phone (808) 249-0471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040924000080 | HI | Practitioner - Physical Therapist in Private Practice | 0941278238 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
149 Hana Hwy
Suite 6
Paia, HI 96779-9745
Phone (808) 579-9750
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| AMC Corporation | Current | Accepting new patients | |
| AMC Corporation | Physical Therapist | Current | Accepting new patients |
| AMC Corporation | Physical Therapist | Past | Accepting new patients |
| AMC Corporation | Past | Accepting new patients |
Locations
285 W Kaahumanu Ave
Ste 205
Kahului, HI 96732
Phone (808) 873-0060
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Paia, HI
- NPI 1225366545
-
- Physical Therapist
- Kahului, HI
- NPI 1114971710
-
- Physical Medicine & Rehabilitation Physician
- Kahului, HI
- NPI 1568042737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1649335381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 791954",
"city": "PAIA",
"state": "HI",
"postal_code": "967791954",
"telephone_number": "808-249-0471",
"fax_number": "808-873-6510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 W KAAHUMANU AVE STE 205",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967321623",
"telephone_number": "808-877-4663",
"fax_number": "808-873-6510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANEBIANCO",
"first_name": "AMBER",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "2052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.