Organization Active NPI

Central Honolulu Therapy Clinic, LLC

  • Physical Therapy Clinic/Center
  • Honolulu, HI
National Provider Identifier
1811064181
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
0653911 Issued in HI
Legal business name
CENTRAL HONOLULU THERAPY CLINIC, LLC
Practice address
2024 N King St Ste 201
Honolulu, HI 96819-3470
Phone
(808) 843-1400
Fax
(808) 843-1402
NPI assigned
Nov 29, 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
Dr. Russell G Tacata, M.D.
Title
Dr.
Phone
(808) 843-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 0653911 HI Primary

Addresses

Primary practice location

2024 N King St Ste 201
Honolulu, HI 96819-3470

Mailing address

2024 N King St Ste 201
Honolulu, HI 96819-3470
Phone (808) 843-1400

National Provider Directory

National Provider Directory
Tax ID family
Central Honolulu Therapy Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811064181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 N KING ST STE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193470",
            "telephone_number": "808-843-1400",
            "fax_number": "808-843-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 N KING ST STE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193470",
            "telephone_number": "808-843-1400",
            "fax_number": "808-843-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL HONOLULU THERAPY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TACATA",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "808-843-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "HI",
            "license": "0653911",
            "primary": true
        }
    ],
    "identifiers": [],
    "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.