NPIMap

Organization Active NPI

KPT Corporation

Doing business as Kula Physical Therapy

  • Physical Therapist
  • Kula, HI
National Provider Identifier
1790880888
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2191 Issued in HI
Legal business name
KPT CORPORATION
Doing business as
Kula Physical Therapy
Practice address
100 Keokea PL
Kula, HI 96790-7450
Phone
(808) 264-2135
Fax
(866) 646-1468
NPI assigned
Sep 13, 2006
Last updated
Sep 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Authorized official

Name
Christie Ann Newsom, MSPTNPI 1821193012
Title
President
Phone
(808) 875-6690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2191 HI Primary

Addresses

Primary practice location

100 Keokea PL
Kula, HI 96790-7450

Mailing address

1819 S Kihei Rd Ste D104
Kihei, HI 96753-7940
Phone (808) 875-6690

Other names 1

  • Kula Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050104000886 HI Part B Supplier - Clinic/Group Practice 5991753188 Receives reassigned benefits from 1 practitioner
Practice locations: Kula, HI

National Provider Directory

National Provider Directory

Locations

1819 S Kihei Rd
Ste D104
Kihei, HI 96753
Phone (808) 875-6690

2662 Wai Wai Pl
Ste 102
Kihei, HI 96753
Phone (808) 269-6626

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1790880888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 S KIHEI RD STE D104",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537940",
            "telephone_number": "808-875-6690",
            "fax_number": "808-875-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KEOKEA PL",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967907450",
            "telephone_number": "808-264-2135",
            "fax_number": "866-646-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "NEWSOM",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-875-6690",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kula Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kula, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.