Alan D. Nitake, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-3528 Issued in HI

Practice address

81 Makawao Avenue
Suite 110
Makawao, HI 96768

Phone

(808) 572-2281

Fax

(808) 573-5869

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gardena Physical Therapy & Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Gardena, CA
  • NPI 1902848492
  NPD (past) Authorized official
• Physical Therapy at Pukalani, LLC

  • Physical Therapy Clinic/Center
  • Makawao, HI
  • NPI 1073198115

  Physical Therapist

  NPD
• California Physical Therapy Management Inc

  • Physical Therapist
  • Gardena, CA
  • NPI 1053561373
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1790729606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 KUINEHE PLACE",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "96768",
            "telephone_number": "310-528-8240",
            "fax_number": "310-329-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MAKAWAO AVENUE",
            "address_2": "SUITE 110",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "96768",
            "telephone_number": "808-572-2281",
            "fax_number": "808-573-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITAKE",
        "first_name": "ALAN",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT6944",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-3528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Ann Nakamura, DC
• Jeana Iwalani Naluai, P.T.
• Melissa P Neckelmann, MT
• New Waves Wellness Center, Inc.
• Nina Vishnevska MD Inc
• Milagros Noel, MS
• Nohoana Way of Life Inc
• Nova Luna
• Ohana Recovery
• Ohana-Hale Acupuncture, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.