Clark Orthopedic Rehabilitation and Education

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT-294 Issued in HI

Legal business name

CLARK ORTHOPEDIC REHABILITATION AND EDUCATION

Practice address

1274 Honokahua St
Honolulu, HI 96825-3019

Phone

(808) 286-5005

Fax

(808) 286-5005

NPI assigned

Oct 5, 2017

Organization subpart

No

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

Authorized official

Name

William Clark, ATC

Title

Owner

Phone

(808) 286-5005

Specialties & licenses 1

Addresses

Other names 1

• CORE 808 Doing business as

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1861902736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968240401",
            "telephone_number": "808-286-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 HONOKAHUA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968253019",
            "telephone_number": "808-286-5005",
            "fax_number": "808-286-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK ORTHOPEDIC REHABILITATION AND EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-286-5005",
        "authorized_official_credential": "ATC"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "HI",
            "license": "AT-294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORE 808",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clarence K.M. Young, D.D.S.
• Clarence Lee DDS Inc.
• Clarishealth Hawaii LLC
• Clarity Counseling and Wellness
• Maria Georgia Clariza
• Cristen Clare Clark, BACHELORS PSYCHOLOGY
• Daniel K Clark
• Deborah Lee Clark
• John Clark
• Kinsey Lee Clark

• Athletic Trainer in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Athletic Trainer in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.