NPIMap

Organization Active NPI

Maui Holistic Physical Therapy LLC

  • Physical Therapist
  • Kula, HI
National Provider Identifier
1801245378
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3855 Issued in HI
Legal business name
MAUI HOLISTIC PHYSICAL THERAPY LLC
Practice address
5281 Lower Kula Rd
Kula, HI 96790-7712
Phone
(808) 269-2972
Fax
(808) 878-1879
NPI assigned
Jun 6, 2016
Last updated
May 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Ragnhild A Jenkins, PTNPI 1376945865
Title
Physical Therapist and Owner
Phone
(808) 269-2972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 3855 HI Primary

Addresses

Primary practice location

5281 Lower Kula Rd
Kula, HI 96790-7712

Mailing address

PO Box 901559
Kula, HI 96790-1559
Phone (808) 269-2972

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1801245378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 901559",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967901559",
            "telephone_number": "808-269-2972",
            "fax_number": "808-878-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5281 LOWER KULA RD",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967907712",
            "telephone_number": "808-269-2972",
            "fax_number": "808-878-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUI HOLISTIC PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "RAGNHILD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST AND OWNER",
        "authorized_official_telephone_number": "808-269-2972",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "3855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 28, 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.