NPIMap

Organization Active NPI

Aloha Wellness Center Inc.

  • Physical Therapy Clinic/Center
  • Aiea, HI
National Provider Identifier
1679643464
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT2010 Issued in HI
Legal business name
ALOHA WELLNESS CENTER INC.
Practice address
98-1247 Kaahumanu St
109B
Aiea, HI 96701-5311
Phone
(808) 484-9106
NPI assigned
Nov 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alma Bersamin
Title
Owner
Phone
(808) 484-9106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT2010 HI Primary

Addresses

Primary practice location

98-1247 Kaahumanu St
109B
Aiea, HI 96701-5311

Mailing address

98-1247 Kaahumanu St
109B
Aiea, HI 96701-5311
Phone (808) 484-9106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180604002467 HI Part B Supplier - Clinic/Group Practice 6406111988 Receives reassigned benefits from 1 practitioner
Practice locations: Pearl City, HI

National Provider Directory

National Provider Directory
Tax ID family
Aloha Wellness Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

98-1247 Kaahumanu St
Ste 109B
Aiea, HI 96701
Phone (808) 484-9106

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679643464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST",
            "address_2": "109B",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015311",
            "telephone_number": "808-484-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST",
            "address_2": "109B",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015311",
            "telephone_number": "808-484-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALOHA WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERSAMIN",
        "authorized_official_first_name": "ALMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-484-9106"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "HI",
            "license": "PT2010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.