Active NPI
Alain Soledad De Vera, P.T.
- Physical Therapist
- Kaneohe, HI
National Provider Identifier
1891904991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-2552
- Practice address
- Hoauna St.
Kaneohe,, HI 96744 - Phone
- (808) 247-2472
- Fax
- (808) 247-2488
- NPI assigned
- May 22, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-2552 | HI | Primary |
Addresses
Primary practice location
Hoauna St.
Kaneohe,, HI 96744
Mailing address
91-114 Nohoihoewa Way
Ewa Beach, HI 96706-4033
Phone (808) 636-4188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-2552 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapists and Homecare on Call Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Registered Nurse
- Kaneohe, HI
- NPI 1881646032
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891904991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-114 NOHOIHOEWA WAY",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967064033",
"telephone_number": "808-636-4188",
"fax_number": "808-685-3863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOAUNA ST.",
"city": "KANEOHE,",
"state": "HI",
"postal_code": "96744",
"telephone_number": "808-247-2472",
"fax_number": "808-247-2488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE VERA",
"first_name": "ALAIN",
"middle_name": "SOLEDAD",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT-2552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kaneohe, HI
- Paula A Daryanani, PSY.D.
- David M Iwasaki DDS Inc
- Michele Lei Day, LMT
- Frank Louis De Giacomo
- Angelyn Adorable De Guzman, DDS
- Dental World Kaneohe LLC (Windward Dental World)
- Dept. of Health-Hawaii-Child and Adolescent Mental Health Division
- Dept. of Health-Hawaii-Developmental Disabilities Division Cmu4
- Elizabeth J. Dettweiler, FNP
- Dialysis Newco LLC (U.S. Renal Care Ko'Olau Dialysis)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.