Amy Genee Peterson, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT 3395 Issued in HI

Practice address

335 Hoohana St Ste F
Kahului, HI 96732-3527

Phone

(808) 446-2032

Fax

(833) 565-3144

NPI assigned

Jun 29, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pediatric Therapies Hawaii

  • Pediatric Physical Therapist
  • Kahului, HI
  • NPI 1427562305

  Pediatrics

  NPD Authorized official
• Imua Family Services

  • Early Intervention Provider Agency
  • Kahului, HI
  • NPI 1871936617
  NPD (past)
• Kapiolani Medical Center for Women & Children

  • Community/Retail Pharmacy
  • Honolulu, HI
  • NPI 1841263720
  NPD (past)
• My Left Foot Children'S Therapy

  • Pediatric Occupational Therapist
  • Las Vegas, NV
  • NPI 1497810576

  Pediatrics

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1699062570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 HOOHANA ST STE F",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323527",
            "telephone_number": "808-446-2032",
            "fax_number": "833-565-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 HOOHANA ST STE F",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323527",
            "telephone_number": "808-446-2032",
            "fax_number": "833-565-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "AMY",
        "middle_name": "GENEE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2022-06-13",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT 3395",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "HI",
            "license": "PT 3395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "820515",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pediatrictherapieshawaii.com",
            "affiliation": "N",
            "address_1": "335 Hoohana St Ste F",
            "city": "Kahului",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967323527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tara Pepper, MS, PT
• Samantha Lee Perdido, ATC
• Ellen Ann Perreira, PHARM D
• Peter H Kim DDS LLC
• Angela M. Peters, MPT
• Brittany Niccole Peterson, RBT
• Gelasia Peterson, RBT
• Carol Teresa Petith-Zbiciak, DNP, APRN - RX
• Catherine Phan, RBT
• Physical Therapy and Wellness Center of Maui LLC

• Pediatric Physical Therapist in Kahului, HI
• Providers in Kahului, HI by specialty
• Pediatric Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.