Individual provider Active NPI

Nandini Rampersaud

  • Physical Therapist
  • Kailua Kona, HI
National Provider Identifier
1750869772
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-5170 Issued in HI
Practice address
75-165 Hualalai Rd
Kailua Kona, HI 96740-3722
Phone
(808) 329-0591
Fax
(808) 329-2066
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305212128 VA
Physical Therapist 225100000X 292980 CA
Physical Therapist 225100000X PT-5170 HI Primary
Physical Therapist 225100000X PT32272 FL

Addresses

Primary practice location

75-165 Hualalai Rd
Kailua Kona, HI 96740-3722

Mailing address

75-165 Hualalai Rd
Kailua Kona, HI 96740-3722
Phone (808) 329-0591

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
292980CAMDPhysical Therapist
PT32272FLMDPhysical Therapist
PT-5170HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaiian Rehabilitation Services Inc Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients
Fusion Chiropractic, LLC CurrentSince Oct 15, 2018 Accepting new patients

Locations

75-165 Hualalai Rd
Kailua Kona, HI 96740
Phone (808) 329-0591

5388 Discovery Park Blvd
Ste 200
Williamsburg, VA 23188

5388 Discovery Park Blvd
Ste 100
Williamsburg, VA 23188
Phone (757) 707-3955

201 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 229-9740

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": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1750869772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-165 HUALALAI RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403722",
            "telephone_number": "808-329-0591",
            "fax_number": "808-329-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-165 HUALALAI RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403722",
            "telephone_number": "808-329-0591",
            "fax_number": "808-329-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMPERSAUD",
        "first_name": "NANDINI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212128",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292980",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-5170",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.