NPIMap

Organization Active NPI

P.T. Hawaii, Inc

  • Physical Therapist
  • Waipahu, HI
National Provider Identifier
1699720615
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2585 Issued in HI
Legal business name
P.T. HAWAII, INC
Practice address
94-801 Farrington Hwy
Waipahu, HI 96797-3164
Phone
(808) 680-9123
Fax
(808) 680-9889
NPI assigned
May 24, 2006
Last updated
Jul 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Richard H Grover
Title
Chief Financial Officer
Phone
(808) 227-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2585 HI Primary

Addresses

Primary practice location

94-801 Farrington Hwy
Waipahu, HI 96797-3164

Mailing address

91-2135 Fort Weaver Road
Suite 170
Ewa Beach, HI 96706-1929
Phone (808) 676-5331

Other identifiers 2

IdentifierTypeStateIssuer
579641MedicaidHI
6397309OtherHIUNITED HEALTH ALLIANCE

National Provider Directory

National Provider Directory
Tax ID family
PT Hawaii Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

94-801 Farrington Hwy
Waipahu, HI 96797

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1699720615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-2135 FORT WEAVER ROAD",
            "address_2": "SUITE 170",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061929",
            "telephone_number": "808-676-5331",
            "fax_number": "808-671-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-801 FARRINGTON HWY",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973164",
            "telephone_number": "808-680-9123",
            "fax_number": "808-680-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.T. HAWAII, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "808-227-4900"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT2585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "579641",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH ALLIANCE",
            "identifier": "6397309",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.