Organization Active NPI

King Physical Therapy

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1740304724
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KING PHYSICAL THERAPY
Practice address
1810 N King St # E1
Honolulu, HI 96819-3473
Phone
(808) 536-1011
NPI assigned
Mar 16, 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
Lucita Cordero
Title
Manager
Phone
(808) 536-1011

Specialties & licenses 1

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

Addresses

Primary practice location

1810 N King St # E1
Honolulu, HI 96819-3473

Mailing address

1810 N King St # E1
Honolulu, HI 96819-3473

Other identifiers 1

IdentifierTypeStateIssuer
005125-01MedicaidHI

National Provider Directory

National Provider Directory

Locations

1810 N King St
#E1
Honolulu, HI 96819
Phone (808) 391-7678

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740304724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 N KING ST # E1",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 N KING ST # E1",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193473",
            "telephone_number": "808-536-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "LUCITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-536-1011"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005125-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.