NPIMap

Organization Active NPI

Mililani Physical Therapy LLC

  • Physical Therapist
  • Mililani, HI
National Provider Identifier
1902831498
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MILILANI PHYSICAL THERAPY LLC
Practice address
95-720 Lanikuhana Ave
140
Mililani, HI 96789-2985
Phone
(808) 623-6244
Fax
(808) 623-6414
NPI assigned
Jul 12, 2006
Last updated
Mar 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Mary Lau-MikiNPI 1407800667
Title
Director
Phone
(808) 623-6244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

95-720 Lanikuhana Ave
140
Mililani, HI 96789-2985

Mailing address

95-720 Lanikuhana Ave
140
Mililani, HI 96789-2985
Phone (808) 623-6244

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040312001063 HI Part B Supplier - Clinic/Group Practice 9436048881 Receives reassigned benefits from 15 practitioners
Practice locations: Mililani, HI

National Provider Directory

National Provider Directory

Locations

95-1249 Meheula Pkwy
#B38
Mililani, HI 96789
Phone (808) 623-6244

95-720 Lanikuhana Ave
#140
Mililani, HI 96789
Phone (808) 623-6244

95-720 Lanikuhana Ave
Ste 110
Mililani, HI 96789
Phone (808) 623-6244

95-720 Lanikuhana Ave
Ste 140
Mililani, HI 96789
Phone (808) 623-6244

Practitioners & affiliated clinicians

Practitioners 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1902831498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-720 LANIKUHANA AVE",
            "address_2": "140",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892985",
            "telephone_number": "808-623-6244",
            "fax_number": "808-623-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-720 LANIKUHANA AVE",
            "address_2": "140",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892985",
            "telephone_number": "808-623-6244",
            "fax_number": "808-623-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILILANI PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "LAU-MIKI",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "808-623-6244"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mililani, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.