Organization Active NPI

Kinesis Hawaii Inc.

  • Physical Therapy Clinic/Center
  • Pahoa, HI
National Provider Identifier
1831371830
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
473 Issued in HI
Legal business name
KINESIS HAWAII INC.
Practice address
15-2866 Government Main Road
Pahoa Village Center
Pahoa, HI 96778
Phone
(808) 965-0880
Fax
(808) 965-0770
NPI assigned
Nov 30, 2007
Last updated
Nov 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Mr. Nicolas Myrianthis, P.T.NPI 1518979871
Title
President/ Ceo
Phone
(808) 965-0880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 473 HI Primary

Addresses

Primary practice location

15-2866 Government Main Road
Pahoa Village Center
Pahoa, HI 96778

Mailing address

PO Box 2096
Pahoa, HI 96778-2096
Phone (808) 965-0880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040611001423 HI Part B Supplier - Clinic/Group Practice 4880677558 Receives reassigned benefits from 2 practitioners
Practice locations: Hilo, HI; Pahoa, HI; Volcano, HI

National Provider Directory

National Provider Directory

Locations

28 Puuhina St
Hilo, HI 96720
Phone (808) 935-2964

15-2866 Pahoa Village Rd
Bldg E
Pahoa, HI 96778
Phone (808) 965-2241

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1831371830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2096",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967782096",
            "telephone_number": "808-965-0880",
            "fax_number": "808-965-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-2866 GOVERNMENT MAIN ROAD",
            "address_2": "PAHOA VILLAGE CENTER",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "96778",
            "telephone_number": "808-965-0880",
            "fax_number": "808-965-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINESIS HAWAII INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "MYRIANTHIS",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "808-965-0880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "HI",
            "license": "473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahoa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.