NPIMap

Organization Active NPI

Quality Care Therapy, LLC

Doing business as Moon Physical Therapy

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1700816980
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 1843 Issued in HI
Legal business name
QUALITY CARE THERAPY, LLC
Doing business as
Moon Physical Therapy
Practice address
650 Iwilei Rd
Suite 265
Honolulu, HI 96817-5086
Phone
(808) 550-4774
Fax
(808) 550-0097
NPI assigned
Jul 4, 2006
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
Julie S.O. Moon, PT
Title
Owner
Phone
(808) 550-4774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT 1843 HI Primary

Addresses

Primary practice location

650 Iwilei Rd
Suite 265
Honolulu, HI 96817-5086

Mailing address

650 Iwilei Rd
Suite 265
Honolulu, HI 96817-5086
Phone (808) 550-4774

Other names 1

  • Moon Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130312000477 HI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5799798203 Receives reassigned benefits from 14 practitioners
Practice locations: Kailua, HI; Mililani, HI

National Provider Directory

National Provider Directory

Locations

650 Iwilei Rd
#265
Honolulu, HI 96817
Phone (808) 550-4774

650 Iwilei Rd
Ste 265
Honolulu, HI 96817
Phone (808) 550-4774

320 Ward Ave
Ste 107
Honolulu, HI 96814
Phone (808) 294-3332

201 Hamakua Dr
#C102
Kailua, HI 96734
Phone (808) 597-1005

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700816980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 IWILEI RD",
            "address_2": "SUITE 265",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175086",
            "telephone_number": "808-550-4774",
            "fax_number": "808-550-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 IWILEI RD",
            "address_2": "SUITE 265",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175086",
            "telephone_number": "808-550-4774",
            "fax_number": "808-550-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "S.O.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-550-4774",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT 1843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moon Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.