Active NPI
Sally Michelle Kipps
- Physical Therapist
- Honolulu, HI
National Provider Identifier
1811351125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4113
- Practice address
- 2230 Liliha St Ste 500
Honolulu, HI 96817-1646 - Phone
- (808) 547-6500
- NPI assigned
- Apr 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT4113 | HI | Primary |
Addresses
Primary practice location
2230 Liliha St Ste 500
Honolulu, HI 96817-1646
Mailing address
3121 Pualei Cir Apt 21
Honolulu, HI 96815-4923
Phone (971) 322-6095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4113 | HI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1811351125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 PUALEI CIR APT 21",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968154923",
"telephone_number": "971-322-6095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 LILIHA ST STE 500",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968171646",
"telephone_number": "808-547-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIPPS",
"first_name": "SALLY",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-12",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT4113",
"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 Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.