NPIMap

Organization Active NPI

Kimura Physical Therapy

  • Physical Therapy Clinic/Center
  • Kihei, HI
National Provider Identifier
1891937231
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2227 Issued in HI
Legal business name
KIMURA PHYSICAL THERAPY
Practice address
535 Lipoa Pkwy Ste 151
Kihei, HI 96753-6902
Phone
(808) 879-5211
Fax
(808) 879-5213
NPI assigned
Mar 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Malia Kimura, DPTNPI 1922240225
Title
Owner/Physical Therapist
Phone
(808) 879-5211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2227 HI Primary

Addresses

Primary practice location

535 Lipoa Pkwy Ste 151
Kihei, HI 96753-6902

Mailing address

535 Lipoa Pkwy Ste 151
Kihei, HI 96753-6902
Phone (808) 879-5211

Other practice location 1

1742 Kaahumanu Ave
Wailuku, HI 96793-2407
Phone (808) 243-7870

Other names 1

  • Premier Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090615000145 HI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0446300461 Receives reassigned benefits from 5 practitioners
Practice locations: Kihei, HI; Wailuku, HI

National Provider Directory

National Provider Directory

Locations

535 Lipoa Pkwy
Ste 151
Kihei, HI 96753
Phone (808) 879-5211

535 Lipoa Pkwy
Ste 135
Kihei, HI 96753
Phone (808) 879-5211

1758 Wili Pa Loop
Wailuku, HI 96793
Phone (808) 243-7870

1742 Kaahumanu Ave
Wailuku, HI 96793
Phone (808) 243-7870

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1891937231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 LIPOA PKWY STE 151",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536902",
            "telephone_number": "808-879-5211",
            "fax_number": "808-879-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 LIPOA PKWY STE 151",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536902",
            "telephone_number": "808-879-5211",
            "fax_number": "808-879-5213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1742 Kaahumanu Ave",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967932407",
            "country_code": "US",
            "telephone_number": "808-243-7870",
            "fax_number": "808-243-7871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIMURA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KIMURA",
        "authorized_official_first_name": "MALIA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "808-879-5211",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "HI",
            "license": "2227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.