Individual provider Active NPI

Traceylin Sales Crouch, MPT

  • Physical Therapist
  • Hakalau, HI
National Provider Identifier
1649487828
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1390 Issued in HI
Practice address
31-104 Kauniho Rd.
Hakalau, HI 96710
Phone
(808) 990-2060
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 5

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL0010328COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pono Wellness & Physical Therapy, LLC CurrentSince Jan 7, 2024 Accepting new patients
Aukai Physical Therapy, Inc. Physical Therapist PastSince Jul 27, 2015 Accepting new patients
Warfighter'S Clinic Orthopedic Past Accepting new patients
Therapists and Homecare on Call Inc Physical Therapist Past Accepting new patients
Elam Sports, Inc. Physical Therapist Past Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT1390 HI Primary
Physical Therapist 225100000X PTL0010328 CO

Addresses

NPPES NPI Registry

Primary practice location

31-104 Kauniho Rd.
Hakalau, HI 96710

Mailing address

PO Box 522
Pepeekeo, HI 96783-0522
Phone (808) 990-2060

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 29, 2026.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1649487828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 522",
            "city": "PEPEEKEO",
            "state": "HI",
            "postal_code": "967830522",
            "telephone_number": "808-990-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31-104 KAUNIHO RD.",
            "city": "HAKALAU",
            "state": "HI",
            "postal_code": "96710",
            "telephone_number": "808-990-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "TRACEYLIN",
        "middle_name": "SALES",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT1390",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0010328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hakalau, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.