Mary Hutto, RPT
Individual provider Active NPI Specialist · Kula, HI
NPI 1932239746 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1932239746
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- PT-801 (HI)
- Practice address
- 333 Naele Rd
Kula, HI 96790-8750 - Phone
- (808) 878-6739
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
333 Naele Rd
Kula, HI 96790-8750
Phone (808) 878-6739
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120313000408 | HI | Practitioner - Physical Therapist in Private Practice | 5395635635 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mauka Physical Therapy, Inc. | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT-801 | HI | Yes |
Addresses
Primary practice location
333 Naele Rd
Kula, HI 96790-8750
Mailing address
333 Naele Rd
Kula, HI 96790-8750
Phone (808) 878-6739
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055241-01 | Medicaid | HI | |
| B6363-2 | Other | HI | HMSA |
Other providers in Kula, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.