Active NPI
Ohana Physical Therapy, Inc.
- Physical Therapy Clinic/Center
- Wailuku, HI
National Provider Identifier
1689879462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT-703
- Legal business name
- OHANA PHYSICAL THERAPY, INC.
- Practice address
- 81 Central Ave
Wailuku, HI 96793-1723 - Phone
- (808) 244-6878
- NPI assigned
- Jun 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roswitha E Gabriel
- Title
- President
- Phone
- (808) 244-6878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT-703 | HI | Primary |
Addresses
Primary practice location
81 Central Ave
Wailuku, HI 96793-1723
Mailing address
29 Puukai PL
Kahului, HI 96732-3208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55796001 | Medicaid | HI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689879462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 PUUKAI PL",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967323208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 CENTRAL AVE",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931723",
"telephone_number": "808-244-6878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHANA PHYSICAL THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GABRIEL",
"authorized_official_first_name": "ROSWITHA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-244-6878"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "HI",
"license": "PT-703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55796001",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wailuku, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.