Active NPI
Breakthrough Rehab, Inc.
- Physical Therapist
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- BREAKTHROUGH REHAB, INC.
- Practice address
- 3465 Waialae Avenue
Suite 240
Honolulu, HI 96816 - Phone
- (808) 753-7617
- Fax
- (808) 735-3556
- NPI assigned
- Sep 29, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Bert C Tada, PT
- Title
- President
- Phone
- (808) 753-7617
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Honolulu, HI
- NPI 1275636599
-
- Physical Therapist
- Honolulu, HI
- NPI 1710067574
-
- Hand Occupational Therapist
- Honolulu, HI
- NPI 1255483566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040323001559 | HI | Part B Supplier - Clinic/Group Practice | 0345131827 |
Receives reassigned benefits from 2 practitioners Practice locations: Honolulu, HI |
National Provider Directory
National Provider Directory- Tax ID family
- Breakthrough Rehab
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Customized Equipment (DME)
- Honolulu, HI
- NPI 1992904981
Locations
3465 Waialae Ave
Ste 240
Honolulu, HI 96816
Phone (808) 753-7617
3465 Waialae Ave
Ste 102
Honolulu, HI 96816
Phone (808) 753-7617
3465 Waialae Ave
Ste 420
Honolulu, HI 96816
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
NPPES NPI RegistryPrimary practice location
3465 Waialae Avenue
Suite 240
Honolulu, HI 96816
Mailing address
3465 Waialae Avenue
Suite 240
Honolulu, HI 96816
Phone (808) 753-7617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 19, 2010.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268956800000",
"number": "1851483382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3465 WAIALAE AVENUE",
"address_2": "SUITE 240",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96816",
"telephone_number": "808-753-7617",
"fax_number": "808-735-3556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3465 WAIALAE AVENUE",
"address_2": "SUITE 240",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96816",
"telephone_number": "808-753-7617",
"fax_number": "808-735-3556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREAKTHROUGH REHAB, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2010-03-19",
"status": "A",
"authorized_official_last_name": "TADA",
"authorized_official_first_name": "BERT",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-753-7617",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.