Active NPI
Tracy L. Sawada, OTR, CHT
- Occupational Therapist
- Kailua Kona, HI
National Provider Identifier
1902040652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 51
- Practice address
- 75-1029 Henry St
Suite 101
Kailua Kona, HI 96740-1666 - Phone
- (808) 334-0806
- Fax
- (808) 334-0483
- NPI assigned
- Apr 25, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 51 | HI | Primary |
Addresses
Primary practice location
75-1029 Henry St
Suite 101
Kailua Kona, HI 96740-1666
Mailing address
75-1029 Henry St
Suite 101
Kailua Kona, HI 96740-1666
Phone (808) 334-0806
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 |
|---|---|---|---|
| 51 | HI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Rehab LLC | Occupational Therapist | Current | Accepting new patients |
Locations
75-1029 Henry St
Ste 101
Kailua Kona, HI 96740
Phone (808) 334-0806
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240963200000",
"number": "1902040652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75-1029 HENRY ST",
"address_2": "SUITE 101",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401666",
"telephone_number": "808-334-0806",
"fax_number": "808-334-0483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-1029 HENRY ST",
"address_2": "SUITE 101",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401666",
"telephone_number": "808-334-0806",
"fax_number": "808-334-0483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAWADA",
"first_name": "TRACY",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "OTR, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-25",
"last_updated": "2009-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "HI",
"license": "51",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.