Active NPI
Anya Coleen Vierra, DPT
- Physical Therapist
- Wailuku, HI
National Provider Identifier
1912615618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4847
- Practice address
- 221 Mahalani St
Wailuku, HI 96793-2526 - Phone
- (808) 244-9056
- NPI assigned
- Nov 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4847 | HI | Primary |
| Physical Therapist | 225100000X | 297210 | CA |
Addresses
Primary practice location
221 Mahalani St
Wailuku, HI 96793-2526
Mailing address
3211 Leaf Dr
Merced, CA 95340-8304
Phone (209) 761-4442
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 297210 | CA | MD | Physical Therapist |
| 4847 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Pelvic Health LLC | Physical Therapist | Current | Accepting new patients |
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.
-
- Physical Therapist
- Makawao, HI
- NPI 1497524193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1912615618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3211 LEAF DR",
"city": "MERCED",
"state": "CA",
"postal_code": "953408304",
"telephone_number": "209-761-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 MAHALANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932526",
"telephone_number": "808-244-9056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIERRA",
"first_name": "ANYA",
"middle_name": "COLEEN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-10",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "4847",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "297210",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.