Individual provider Active NPI

Marilyn Schiewe Lippert

  • Physical Therapist
  • Honokaa, HI
National Provider Identifier
1811587306
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3099 Issued in HI
Practice address
45-527 Pakalana St
Honokaa, HI 96727-6986
Phone
(808) 775-8895
Fax
(808) 775-8898
NPI assigned
Jan 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3099 HI Primary

Addresses

Primary practice location

45-527 Pakalana St
Honokaa, HI 96727-6986

Mailing address

PO Box 298
Kamuela, HI 96743-0298
Phone (541) 941-0203

Other names 1

  • Marilyn Lippert Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marilyn.lippert@ebsunited.com

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

LicenseStateTypeSpecialty
3099HIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1811587306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967430298",
            "telephone_number": "541-941-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-527 PAKALANA ST",
            "city": "HONOKAA",
            "state": "HI",
            "postal_code": "967276986",
            "telephone_number": "808-775-8895",
            "fax_number": "808-775-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPERT",
        "first_name": "MARILYN",
        "middle_name": "SCHIEWE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "3099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marilyn.lippert@ebsunited.com",
            "affiliation": "N",
            "address_1": "45-527 Pakalana St",
            "city": "Honokaa",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967276986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "LIPPERT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Honokaa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.