Organization Active NPI

Wahiawa Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Wahiawa, HI
National Provider Identifier
1902229735
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1779 Issued in HI
Legal business name
WAHIAWA PHYSICAL THERAPY LLC
Practice address
302 California Ave Ste 211
Wahiawa, HI 96786-1841
Phone
(808) 622-4942
Fax
(808) 622-1335
NPI assigned
Jan 30, 2014
Last updated
Jan 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Mrs. Janna M Franczyk, P.T.NPI 1235288549
Title
P.T./Owner
Phone
(808) 306-7535

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
Orthopedic Physical Therapist 2251X0800X 1779 HI Primary

Addresses

Primary practice location

302 California Ave Ste 211
Wahiawa, HI 96786-1841

Mailing address

302 California Ave Ste 211
Wahiawa, HI 96786-1841
Phone (808) 622-4942

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140517000181 HI Part B Supplier - Clinic/Group Practice 7012130115 Receives reassigned benefits from 7 practitioners
Practice locations: Wahiawa, HI

National Provider Directory

National Provider Directory

Locations

302 California Ave
Ste 211
Wahiawa, HI 96786
Phone (808) 622-4942

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1902229735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 CALIFORNIA AVE STE 211",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967861841",
            "telephone_number": "808-622-4942",
            "fax_number": "808-622-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 CALIFORNIA AVE STE 211",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967861841",
            "telephone_number": "808-622-4942",
            "fax_number": "808-622-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAHIAWA PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "FRANCZYK",
        "authorized_official_first_name": "JANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "P.T./OWNER",
        "authorized_official_telephone_number": "808-306-7535",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "HI",
            "license": "1779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wahiawa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.