Tiffany Grace Prangnell, MPT, ATC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1830 Issued in HI

Practice address

411 Huku Lii PL Ste 101
Kihei, HI 96753-7062

Phone

(808) 879-0077

Fax

(808) 879-0177

NPI assigned

Apr 11, 2006

Last updated

Mar 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Shore Physical Therapy and Sportsmedicine, IncGroup PAC ID 5799788808, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• South Shore Physical Therapy & Sportsmedicine, Inc

  dba Imua Physical Therapy

  • Physical Therapy Clinic/Center
  • Kihei, HI
  • NPI 1760435218
  Medicare reassignment Care Compare group NPD Authorized official
• South Shore Physical Therapy & Sportsmedicine, Inc

  • Physical Therapist
  • Kahului, HI
  • NPI 1396601647
  NPD Authorized official

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1881657633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 HUKU LII PL STE 101",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537062",
            "telephone_number": "808-879-0077",
            "fax_number": "808-879-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 HUKU LII PL STE 101",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537062",
            "telephone_number": "808-879-0077",
            "fax_number": "808-879-0177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1827 Wells St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967932370",
            "country_code": "US",
            "telephone_number": "808-244-0077",
            "fax_number": "808-244-0177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Kupuohi St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Lahaina",
            "state": "HI",
            "postal_code": "967612714",
            "country_code": "US",
            "telephone_number": "808-661-0177",
            "fax_number": "808-661-0177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRANGNELL",
        "first_name": "TIFFANY",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "MPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "HI",
            "license": "1830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donalyn Tavara Piano
• Richard Pinner, DC
• Shahido Aldo Piva, D.OM, L.AC.
• Donald Powell
• Timothy F Poyer
• Mailani Puli, PHARMD
• John Kealii Puliatch
• Chaka Ra
• Rainbow Pharmacy, LLC
• Joyce Camille Ramano

• Orthopedic Physical Therapist in Kihei, HI
• Providers in Kihei, HI by specialty
• Orthopedic Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.