Active NPI
Darcy S Ledesma, PT
- Physical Therapist
- Kihei, HI
National Provider Identifier
1821179060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-2199
- Practice address
- 2395 S Kihei Rd
Ste 206
Kihei, HI 96753-8635 - Phone
- (808) 873-8478
- Fax
- (808) 874-0501
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2199 | HI | |
| Physical Therapist | 225100000X | PT-2199 | HI | Primary |
Addresses
Primary practice location
2395 S Kihei Rd
Ste 206
Kihei, HI 96753-8635
Mailing address
2395 S Kihei Rd
Ste 206
Kihei, HI 96753-8635
Phone (808) 244-5541
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52758307 | Medicaid | HI | |
| 5278305 | Medicaid | HI |
Other names 1
- Darcy Stables
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2395 S Kihei Rd
Suite 206
Kihei, HI 96753-8635
Phone (808) 873-8478
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2199 | HI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Physical Therapy and Sports | Physical Therapist | Current | Accepting new patients |
| Kahului Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy and Wellness Center of Maui LLC | Physical Therapist | Past | Accepting new patients |
| Community Clinic of Maui, Inc. | Past | Accepting new patients |
Locations
2395 S Kihei Rd
Ste 206
Kihei, HI 96753
Phone (808) 873-8478
1043 Makawao Ave
Ste 107
Makawao, HI 96768
Phone (808) 572-7790
6 Central Ave
Wailuku, HI 96793
Phone (808) 244-5541
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Kihei, HI
- NPI 1508053265
-
- Physical Therapist
- Makawao, HI
- NPI 1235180811
-
- Federally Qualified Health Center (FQHC)
- Kahului, HI
- NPI 1467346916
-
- Physical Therapist
- Kahului, HI
- NPI 1578623211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1821179060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2395 S KIHEI RD",
"address_2": "STE 206",
"city": "KIHEI",
"state": "HI",
"postal_code": "967538635",
"telephone_number": "808-244-5541",
"fax_number": "808-242-8485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2395 S KIHEI RD",
"address_2": "STE 206",
"city": "KIHEI",
"state": "HI",
"postal_code": "967538635",
"telephone_number": "808-873-8478",
"fax_number": "808-874-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDESMA",
"first_name": "DARCY",
"middle_name": "S",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "2199",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT-2199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52758307",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5278305",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DARCY",
"last_name": "STABLES",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kihei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.