Active NPI
Anna Liza Abaniel Sampayan, PT
- Physical Therapist
- Honolulu, HI
National Provider Identifier
1679647739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3780
- Practice address
- 1350 S King St Ste 307
Honolulu, HI 96814-2008 - Phone
- (808) 809-8057
- Fax
- (808) 582-7755
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 019555-1 | NY | |
| Physical Therapist | 225100000X | 3780 | HI | Primary |
Addresses
Primary practice location
1350 S King St Ste 307
Honolulu, HI 96814-2008
Mailing address
3778 Kalihi Street
Honolulu, HI 96819
Phone (808) 388-2690
Other names 1
- Ms. Anna Liza Lopez
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 |
|---|---|---|---|
| 3780 | HI | MD | Physical Therapist |
| 019555-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Wellness, LLC | Current | Accepting new patients | |
| Paterson Physical Therapy, P.C. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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
- Honolulu, HI
- NPI 1891466116
-
- Physical Disabilities Residential Treatment Facility
- Paterson, NJ
- NPI 1649347246
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1679647739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3778 KALIHI STREET",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96819",
"telephone_number": "808-388-2690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 S KING ST STE 307",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142008",
"telephone_number": "808-809-8057",
"fax_number": "808-582-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPAYAN",
"first_name": "ANNA LIZA",
"middle_name": "ABANIEL",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2023-06-09",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "019555-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "3780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA LIZA",
"last_name": "LOPEZ",
"prefix": "MS.",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.