Organization Active NPI

Ohana Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Wailuku, HI
National Provider Identifier
1689879462
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT-703 Issued in HI
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
55796001MedicaidHI

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.