Individual provider Active NPI

Elizabeth A Cheng-Leever, DPT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1750477345
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT883 Issued in HI
Practice address
5722 Kalanianaole Hwy
Honolulu, HI 96821-2388
Phone
(808) 373-3555
Fax
(808) 373-3666
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT883 HI Primary

Addresses

Primary practice location

5722 Kalanianaole Hwy
Honolulu, HI 96821-2388

Mailing address

4311 Pahoa Avenue
Honolulu, HI 96816
Phone (808) 739-5769

Other identifiers 8

IdentifierTypeStateIssuer
220484OtherHIHMA
0000241331OtherHIHMSA PPO/HMO/QUEST/65C
0000241331OtherHITRICARE
54184801MedicaidHI
0373318OtherHIUHA 99-0332020
99-0332020OtherHIHMAA
204196700OtherHIOWCP
54184801OtherHIALOHA CARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060323000245 HI Practitioner - Physical Therapist in Private Practice 0042228637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthosport Hawaii, LLCGroup PAC ID 5890872634, 25 clinicians

Practice addresses (Care Compare)

5216 Hao PL
Honolulu, HI 96821-1653
Phone (808) 373-3555

5722 Kalanianaole Hwy
Honolulu, HI 96821-2388
Phone (808) 373-3555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT883HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthosport Hawaii, LLC CurrentSince Oct 7, 2016 Accepting new patients
Orthosport Physical Therapy PastSince Jan 10, 2021 Accepting new patients
Ohana Pacific Rehabilitation Services, LLC Physical Therapist Past Accepting new patients

Locations

5722 Kalanianaole Hwy
Lowr
Honolulu, HI 96821
Phone (808) 373-3555

5722 Kalanianaole Hwy
Honolulu, HI 96821
Phone (808) 373-1114

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750477345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 PAHOA AVENUE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96816",
            "telephone_number": "808-739-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5722 KALANIANAOLE HWY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212388",
            "telephone_number": "808-373-3555",
            "fax_number": "808-373-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG-LEEVER",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA",
            "identifier": "220484",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PPO/HMO/QUEST/65C",
            "identifier": "0000241331",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "0000241331",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54184801",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA 99-0332020",
            "identifier": "0373318",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMAA",
            "identifier": "99-0332020",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "204196700",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHA CARE",
            "identifier": "54184801",
            "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 Jul 21, 2022; 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.