Active NPI
Meynard Villenas Enriquez, PT
- Physical Therapist
- Lihue, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2583
- Practice address
- 3088A Aukele St
Lihue, HI 96766-1464 - Phone
- (808) 632-0033
- NPI assigned
- Dec 28, 2005
- 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 | 2583 | HI | Primary |
| Specialist | 174400000X | PT 29450 | CA |
Addresses
Primary practice location
3088A Aukele St
Lihue, HI 96766-1464
Mailing address
PO Box 288
Lihue, HI 96766-0288
Phone (808) 634-7055
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, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3088 Aukele St
Lihue, HI 96766-2124
Phone (808) 632-0033
5633 Kawaihau Rd
BLDG 2a 12
Kapaa, HI 96746-2319
Phone (808) 378-4477
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 29450 | CA | MD | Specialist |
| 2583 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huntington Rehabilitation Medicine Associates | Physical Therapist | Past | Accepting new patients |
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Kapaa, HI
- NPI 1134899032
-
- Physical Therapist
- Lihue, HI
- NPI 1578802716
-
- Physical Therapist
- Kapaa, HI
- NPI 1487269965
-
- Physical Therapist
- Kapaa, HI
- NPI 1831806231
-
- Physical Medicine & Rehabilitation Physician
- Lihue, HI
- NPI 1255833612
-
- Physical Therapist
- Lihue, HI
- NPI 1316449358
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.
-
- Physical Medicine & Rehabilitation Physician
- Pasadena, CA
- NPI 1437194628
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238457600000",
"number": "1689651002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 288",
"city": "LIHUE",
"state": "HI",
"postal_code": "967660288",
"telephone_number": "808-634-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3088A AUKELE ST",
"city": "LIHUE",
"state": "HI",
"postal_code": "967661464",
"telephone_number": "808-632-0033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENRIQUEZ",
"first_name": "MEYNARD",
"middle_name": "VILLENAS",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2009-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "2583",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "PT 29450",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lihue, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.