Individual provider Active NPI

Erin Deneeve Baum, PT

  • Physical Therapist
  • Aiea, HI
National Provider Identifier
1770537938
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1940 Issued in HI
Practice address
98-211 Pali Momi St
Room 707
Aiea, HI 96701
Phone
(808) 450-9250
Fax
(888) 965-6583
NPI assigned
May 20, 2006
Last updated
Jul 21, 2022By the provider in NPPES
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 1940 HI Primary

Addresses

Primary practice location

98-211 Pali Momi St
Room 707
Aiea, HI 96701

Mailing address

94-1477 Waipio Uka St.
G206
Waipahu, HI 96797-4667
Phone (808) 754-6169

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110316001040 HI Practitioner - Physical Therapist in Private Practice 3173705837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

98 -211 Pali Momi St
Suite 707
Aiea, HI 96701-4339
Phone (808) 450-9250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1940HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Oahu Physical Therapy Specialists LLC Physical Therapist CurrentSince Aug 29, 2017 Accepting new patients
Central Oahu Physical Therapy Specialists LLC Physical Therapist CurrentSince Aug 29, 2017 Accepting new patients
Mililani Physical Therapy LLC Physical Therapist PastSince Apr 15, 2002 Accepting new patients

Locations

98-211 Pali Momi St
Ste 707
Aiea, HI 96701
Phone (808) 382-3388

916A Kilani Ave
Wahiawa, HI 96786
Phone (808) 621-6400

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770537938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1477 WAIPIO UKA ST.",
            "address_2": "G206",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974667",
            "telephone_number": "808-754-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST",
            "address_2": "ROOM 707",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "96701",
            "telephone_number": "808-450-9250",
            "fax_number": "888-965-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENEEVE BAUM",
        "first_name": "ERIN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "1940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, 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.