Individual provider Active NPI

Michelle T W Dela Cruz, PT

  • Physical Therapist
  • Waipahu, HI
National Provider Identifier
1750530358
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2833 Issued in HI
Practice address
94-689 Farrington Hwy
Waipahu, HI 96797-3015
Phone
(808) 676-7700
Fax
(808) 676-7708
NPI assigned
Sep 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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 PT2833 HI Primary

Addresses

Primary practice location

94-689 Farrington Hwy
Waipahu, HI 96797-3015

Mailing address

94-689 Farrington Hwy
Waipahu, HI 96797-3015
Phone (808) 676-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT2833HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Waipahu Physical Therapy, Inc Physical Therapist PastSince Feb 22, 2010 Accepting new patients
Wahiawa Rehab Services Inc Physical Therapist PastSince Feb 22, 2010 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1750530358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-689 FARRINGTON HWY",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973015",
            "telephone_number": "808-676-7700",
            "fax_number": "808-676-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-689 FARRINGTON HWY",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973015",
            "telephone_number": "808-676-7700",
            "fax_number": "808-676-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA CRUZ",
        "first_name": "MICHELLE",
        "middle_name": "T W",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT2833",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 18, 2008; 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.