Organization Active NPI

Physical Therapy Services LLC

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1790853174
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY SERVICES LLC
Practice address
850 W Hind Dr
Suite 104 and 108
Honolulu, HI 96821-1855
Phone
(808) 373-4787
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kirsten Jegsen Melcher, PT
Title
Owner and Physical Therapist
Phone
(808) 373-4787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

850 W Hind Dr
Suite 104 and 108
Honolulu, HI 96821-1855

Mailing address

850 W Hind Dr
Suite 104 and 108
Honolulu, HI 96821-1855
Phone (808) 373-4787

Other identifiers 5

IdentifierTypeStateIssuer
DA8455OtherHIMEDICARE RAILROAD
B5797-2OtherHIHMSA 65C PLUS GROUP
Z1610OtherHIMDX HAWAII NETWORK GROUP
B5797-2OtherHIHMSA GROUP NUMBER
B5797-2OtherHIHMSA QUEST GROUP

National Provider Directory

National Provider Directory

Locations

850 W Hind Dr
Ste 106
Honolulu, HI 96821
Phone (808) 373-4787

850 W Hind Dr
Ste 104108
Honolulu, HI 96821

850 W Hind Dr
Ste 104
Honolulu, HI 96821
Phone (808) 373-4787

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790853174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W HIND DR",
            "address_2": "SUITE 104 AND 108",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211855",
            "telephone_number": "808-373-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W HIND DR",
            "address_2": "SUITE 104 AND 108",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211855",
            "telephone_number": "808-373-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MELCHER",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "JEGSEN",
        "authorized_official_title_or_position": "OWNER AND PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "808-373-4787",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DA8455",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA 65C PLUS GROUP",
            "identifier": "B5797-2",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDX HAWAII NETWORK GROUP",
            "identifier": "Z1610",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA GROUP NUMBER",
            "identifier": "B5797-2",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA QUEST GROUP",
            "identifier": "B5797-2",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.