Kahana Physical Therapy Center,Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1707 Issued in HI

Legal business name

KAHANA PHYSICAL THERAPY CENTER,INC

Practice address

4310 L Honoapiilani Rd
Ste #110
Lahaina, HI 96761-9246

Phone

(808) 669-3900

Fax

(808) 669-3912

NPI assigned

Nov 30, 2007

Last updated

Jun 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Garrison Stern, P.T.

Title

President

Phone

(808) 669-3900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1770765851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 L HONOAPIILANI RD",
            "address_2": "STE #110",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967619246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 L HONOAPIILANI RD",
            "address_2": "STE #110",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967619246",
            "telephone_number": "808-669-3900",
            "fax_number": "808-669-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAHANA PHYSICAL THERAPY CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "GARRISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-669-3900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "1707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Ernest William Johnsen, M.D.
• Yvonne E Johnston, RPH
• Kaanapali Medical Services Inc (Doctors On Call)
• Glenn Y. Kadohiro, DDS
• Kahana Family Dental Center, Inc.
• Kaiser Foundation Health Plan (Kaiser Lahaina Pharmacy)
• Kaiser Foundation Health Plan (Kaiser Lahaina Clinic Radiology)
• Kaiser Foundation Health Plan Inc (Kaiser Lahaina Clinic Laboratory)
• Kaiser Foundation Health Plan, Inc (Lha Modular)
• Kaiser Foundation Health Plan, Inc (Lahaina Clinic)

• Physical Therapist in Lahaina, HI
• Providers in Lahaina, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.