Active NPI
Traceylin Sales Crouch, MPT
- Physical Therapist
- Hakalau, HI
National Provider Identifier
1649487828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1390
- Practice address
- 31-104 Kauniho Rd.
Hakalau, HI 96710 - Phone
- (808) 990-2060
- NPI assigned
- May 17, 2007
- Last updated
- Jan 29, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1390 | HI | Primary |
| Physical Therapist | 225100000X | PTL0010328 | CO |
Addresses
Primary practice location
31-104 Kauniho Rd.
Hakalau, HI 96710
Mailing address
PO Box 522
Pepeekeo, HI 96783-0522
Phone (808) 990-2060
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTL0010328 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pono Wellness & Physical Therapy, LLC | Current | Accepting new patients | |
| Warfighter's Clinic | Orthopedic | Past | Accepting new patients |
| Aukai Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Elam Sports, Inc. | Physical Therapist | Past | Accepting new patients |
| Therapists and Homecare on Call Inc | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Hakalau, HI
- NPI 1609646470
-
dba Kaneohe Physical Therapy
- Physical Therapist
- Kaneohe, HI
- NPI 1558410779
-
- Home Health Registered Nurse
- Kaneohe, HI
- NPI 1881646032
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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.