Individual provider Active NPI

Denine Savage, PT

  • Specialist
  • Kahului, HI
National Provider Identifier
1669615662
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT 2930 Issued in HI
Practice address
53 S Puunene Ave Ste 104
Kahului, HI 96732-2192
Phone
(808) 871-0900
Fax
(808) 871-9119
NPI assigned
Apr 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT 2930 HI Primary

Addresses

Primary practice location

53 S Puunene Ave Ste 104
Kahului, HI 96732-2192

Mailing address

53 S Puunene Ave Ste 104
Kahului, HI 96732-2192
Phone (808) 871-0900

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
PT 2930HIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy and Wellness Center of Maui LLC PastSince Nov 15, 2003 Accepting new patients

Organizations & group practices 1

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": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1669615662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 S PUUNENE AVE STE 104",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322192",
            "telephone_number": "808-871-0900",
            "fax_number": "808-871-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 S PUUNENE AVE STE 104",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322192",
            "telephone_number": "808-871-0900",
            "fax_number": "808-871-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "DENINE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "PT 2930",
            "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 Apr 7, 2009; 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.