Individual provider Active NPI

Regina Valerie Lavelle

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1932462736
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1360 Issued in HI
Practice address
1188 Bishop St
Ste 3311
Honolulu, HI 96813-3301
Phone
(808) 738-5601
Fax
(808) 536-9187
NPI assigned
Jun 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 476 HI
Physical Therapist 225100000X 1360 HI Primary

Addresses

Primary practice location

1188 Bishop St
Ste 3311
Honolulu, HI 96813-3301

Mailing address

970 N Kalaheo Ave
Ste C316
Kailua, HI 96734-1883
Phone (808) 488-5555

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
476HIMDAcupuncturist
1360HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a. Hyman, M.D., LLC PastSince Jun 10, 2009 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.

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1932462736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE",
            "address_2": "STE C316",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341883",
            "telephone_number": "808-488-5555",
            "fax_number": "808-312-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST",
            "address_2": "STE 3311",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133301",
            "telephone_number": "808-738-5601",
            "fax_number": "808-536-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVELLE",
        "first_name": "REGINA",
        "middle_name": "VALERIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "476",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "1360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.