Kinesis Hawaii Inc.
Organization Active NPI Physical Therapy Clinic/Center · Pahoa, HI
NPI 1831371830 · NPPES record last updated Nov 30, 2007
Key facts
- NPI
- 1831371830
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- 473 (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
- Organization subpart
- No
Authorized official
- Name
- Mr. Nicolas Myrianthis, P.T.
- Title
- President/ Ceo
- Phone
- (808) 965-0880
Practitioners 2
-
Carol Ann Iadeluca-Myrianthis, PT, PSYD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 473 | HI | Yes |
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
Other providers in Pahoa, HI
- Kathleen Gorman, LLC
- Kau Hospital
- Kau Hospital
- David Kazmierczak
- Gwen L Keliihoomalu
- Jason R King
- Robin J Kloda
- Anna Koley
- Kuokoa Counseling, LLC
- Kupukupu Center for Arts and Healing LLC
All providers in Pahoa, HI · Physical Therapy Clinic/Center in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.