Individual provider Active NPI

Amber M Panebianco, MPT

  • Physical Therapist
  • Kahului, HI
National Provider Identifier
1649335381
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2052 Issued in HI
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

Updated by the provider on Oct 12, 2007

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 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 IDStateProvider typePAC IDDetails
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
AMC CorporationGroup PAC ID 8224006515, 5 clinicians

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

OrganizationSpecialtyStatusNew patients
AMC Corporation CurrentSince Sep 15, 2004 Accepting new patients
AMC Corporation Physical Therapist CurrentSince Sep 15, 2004 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.

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.

Verify at the official NPI Registry.