Disa Gay B Camacaylan

Primary specialty

ContractorTaxonomy code 171W00000X

License

05008661A Issued in IN

Practice address

65-1230 Mamalahoa Hwy
Suite E11
Kamuela, HI 96743-8318

Phone

(808) 885-7131

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Group practices

Mana Physical Therapy IncGroup PAC ID 0941428932, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mana Physical Therapy Inc.

  • Physical Therapist
  • Waikoloa, HI
  • NPI 1942629241
  Medicare reassignment Care Compare group NPD
• Hawaiian Rehabilitation Services Inc

  • Rehabilitation Clinic/Center
  • Kailua-Kona, HI
  • NPI 1518935162
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1912021940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65-1230 MAMALAHOA HWY",
            "address_2": "SUITE E11",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438318",
            "telephone_number": "808-885-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1230 MAMALAHOA HWY",
            "address_2": "SUITE E11",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438318",
            "telephone_number": "808-885-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACAYLAN",
        "first_name": "DISA GAY",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "IN",
            "license": "05008661A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey Renee Bundrock, RN
• Maria Corazon Buno, MS RD
• Elizabeth Bush, APRN
• Gregory Paul Calkins, M.D.
• Janet Callaway
• Alyce Camero, SLP
• Carol S. Blum, PHD
• Loren Case
• Kelen Rae Geller Casey, LMT
• Vikki Lynn Catellacci, MFT

• Contractor in Kamuela, HI
• Providers in Kamuela, HI by specialty
• Contractor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.