Active NPI
Amrik Singh Sidhu, D.P.T.
- Physical Therapist
- Honolulu, HI
National Provider Identifier
1679817233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-2888
- Practice address
- 1720 Huna St Apt 503
Honolulu, HI 96817-2462 - Phone
- (559) 304-4473
- NPI assigned
- Nov 20, 2012
- Sex
- Male
- 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 | PT-2888 | HI | Primary |
| Physical Therapist | 225100000X | PT-34372 | CA |
Addresses
Primary practice location
1720 Huna St Apt 503
Honolulu, HI 96817-2462
Mailing address
1720 Huna St Apt 503
Honolulu, HI 96817-2462
Phone (559) 304-4473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
101 E State St
Kennett Square, PA 19348-3109
2029 Lanihuli Dr
Honolulu, HI 96822-2112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-34372 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Aloha Wound Care Group LLC | Past | Accepting new patients |
Locations
1350 S King St
Ste 307
Honolulu, HI 96814
Phone (808) 342-1706
101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436
Organizations & group practices 3
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.
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- Physical Therapist
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- NPI 1225799182
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- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Honolulu, HI
- NPI 1043657141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1679817233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 HUNA ST APT 503",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968172462",
"telephone_number": "559-304-4473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 HUNA ST APT 503",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968172462",
"telephone_number": "559-304-4473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDHU",
"first_name": "AMRIK",
"middle_name": "SINGH",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-20",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT-2888",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT-34372",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.