Active NPI
Tara Pepper, MS, PT
- Physical Therapist
- Kahului, HI
National Provider Identifier
1679865505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4214
- Practice address
- 472 Kaulana St
Kahului, HI 96732-2050 - Phone
- (808) 877-2761
- NPI assigned
- May 11, 2011
- 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 | 4214 | HI | Primary |
| Physical Therapist | 225100000X | 7485 | CO |
Addresses
Primary practice location
472 Kaulana St
Kahului, HI 96732-2050
Mailing address
2061 S Kihei Rd
Apt 2
Kihei, HI 96753-9702
Phone (720) 206-5931
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7485 | CO | MD | Physical Therapist |
| 4214 | HI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1679865505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2061 S KIHEI RD",
"address_2": "APT 2",
"city": "KIHEI",
"state": "HI",
"postal_code": "967539702",
"telephone_number": "720-206-5931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "472 KAULANA ST",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967322050",
"telephone_number": "808-877-2761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPPER",
"first_name": "TARA",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-11",
"last_updated": "2016-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "4214",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "7485",
"primary": false
}
],
"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 Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.