Malama Pono Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MALAMA PONO PHYSICAL THERAPY LLC

Practice address

116 Ala Apapa PL
Makawao, HI 96768-8468

Phone

(808) 264-8499

NPI assigned

May 22, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Isidro Bencito Soriano III, PTNPI 1558873398

Title

Owner

Phone

(808) 264-8499

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Practitioners 1

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

• Isidro Bencito Soriano III, PT

  • Physical Therapist
  • Makawao, HI
  • NPI 1558873398
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1801419924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ALA APAPA PL",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967688468",
            "telephone_number": "808-264-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 ALA APAPA PL",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967688468",
            "telephone_number": "808-264-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALAMA PONO PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "ISIDRO",
        "authorized_official_middle_name": "BENCITO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-264-8499",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha K Lowery, ND
• Lydee Ritchie LMFT LLC
• Lynn Sauler Therapy LLC
• Patricia L Lynn, MA MFT
• Michele Chantal Maalea, COUNSELOR
• Malama Yoga & Nature-Based Therapy LLC
• Audrey Malasnik
• Joanne Marroni, L.M.H.C., M.A.C
• Juliana Smith Massenburg, RPH
• Robert P Mastroianni, MD

• Physical Therapy Clinic/Center in Makawao, HI
• Providers in Makawao, HI by specialty
• Physical Therapy Clinic/Center in Hawaii

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