Individual provider Active NPI

Terri Lynne Driesel, PT

  • Physical Therapist
  • Wailuku, HI
National Provider Identifier
1821355512
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3488 Issued in HI
Practice address
1827 Wells St Ste 2
Wailuku, HI 96793-2370
Phone
(808) 244-0077
NPI assigned
Apr 18, 2012
Last updated
Jun 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 01910 MO
Physical Therapist 225100000X 3488 HI Primary

Addresses

Primary practice location

1827 Wells St Ste 2
Wailuku, HI 96793-2370

Mailing address

101 Kanani Rd
Kihei, HI 96753-6805
Phone (808) 633-4480

Other names 1

  • Terri Lynne Barton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120525000426 HI Practitioner - Physical Therapist in Private Practice 8123281722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Venture Physical Therapy LLCGroup PAC ID 6901961861, 11 clinicians

Practice addresses (Care Compare)

101 Kanani Rd
Kihei, HI 96753-6805
Phone (808) 633-4480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01910MOMDPsychologist
3488HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Venture Physical Therapy LLC Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients
Venture Physical Therapy LLC Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1821355512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 KANANI RD",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536805",
            "telephone_number": "808-633-4480",
            "fax_number": "866-465-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 WELLS ST STE 2",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932370",
            "telephone_number": "808-244-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIESEL",
        "first_name": "TERRI",
        "middle_name": "LYNNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "01910",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "3488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "BARTON",
            "middle_name": "LYNNE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.

Verify at the official NPI Registry.