Jordan Amanda Peoples, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5455 Issued in HI

Practice address

78-6831 Alii Dr Ste 420
Kailua Kona, HI 96740-5403

Phone

(808) 498-4144

NPI assigned

Jun 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Hawaii Physical Therapy, LLCGroup PAC ID 6103356357, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Active Hawaii Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Kailua Kona, HI
  • NPI 1366277832

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Therapydia, Inc.

  • Physical Therapy Clinic/Center
  • Kailua Kona, HI
  • NPI 1972927119

  Physical Therapist

  Medicare reassignment NPD
• Therapydia, Inc.

  • Physical Therapy Clinic/Center
  • Washington, DC
  • NPI 1639583602

  Physical Therapist

  NPD

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1740929934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5778 OLEKA PL",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401938",
            "telephone_number": "714-837-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78-6831 ALII DR STE 420",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967405403",
            "telephone_number": "808-498-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEOPLES",
        "first_name": "JORDAN",
        "middle_name": "AMANDA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "5455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melanie Camille Pekala, FNP-C
• Richard A Pekala, MD
• Paula Cox Perkins
• Jason Raynord Perret, RN
• Kevin Perrino, D.C.
• Ankearath Phem
• Delana Jean Phillips, MD

• Physical Therapist in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.