Active NPI
Dana K Craig, PT
- Physical Therapist
- Kailua Kona, HI
National Provider Identifier
1669578696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-1685
- Practice address
- 75-5699 Kopiko St
Kailua Kona, HI 96740-1668 - Phone
- (808) 329-7744
- Fax
- (808) 334-1608
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- 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 | PT-1685 | HI | Primary |
Addresses
Primary practice location
75-5699 Kopiko St
Kailua Kona, HI 96740-1668
Mailing address
75-5699 Kopiko St
Kailua Kona, HI 96740-1668
Phone (808) 329-7744
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 248346-02 | Medicaid | HI | |
| PT-1685 | Other | HI | STATE LICENCE # |
Other names 1
- Kai Craig
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1669578696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75-5699 KOPIKO ST",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401668",
"telephone_number": "808-329-7744",
"fax_number": "808-334-1608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-5699 KOPIKO ST",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401668",
"telephone_number": "808-329-7744",
"fax_number": "808-334-1608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "DANA",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT-1685",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "248346-02",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE #",
"identifier": "PT-1685",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAI",
"last_name": "CRAIG",
"credential": "PT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.