Kalo Physical Therapy Multispeciality Group LLC

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT-3268 Issued in HI

Legal business name

KALO PHYSICAL THERAPY MULTISPECIALITY GROUP LLC

Doing business as

KPTMG

Practice address

75-5597 Palani Rd Ste A1
Kailua Kona, HI 96740-1661

Phone

(808) 987-6795

NPI assigned

Feb 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Brett Carey, DPT

Title

Ceo

Phone

(808) 987-6795

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• KPTMG Doing business as

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victoria Anne Giffen, DPT

  • Physical Therapist
  • Kailua Kona, HI
  • NPI 1083113856
  NPD (past)

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1932648284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5235",
            "address_2": "APT J3",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967455235",
            "telephone_number": "808-987-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5597 PALANI RD STE A1",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401661",
            "telephone_number": "808-987-6795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75-5660 Kopiko St",
            "address_purpose": "LOCATION",
            "city": "Kailua Kona",
            "state": "HI",
            "postal_code": "967403611",
            "country_code": "US",
            "telephone_number": "808-987-6795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KALO PHYSICAL THERAPY MULTISPECIALITY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-987-6795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "HI",
            "license": "PT-3268",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "HI",
            "license": "PT-3268",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "HI",
            "license": "PT-3268",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCCA STATE LICENSING AGENCY IN HAWAII",
            "identifier": "PT-3268",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KPTMG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KPTMG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Health Plan, Inc.
• Kaiser Foundation Health Plan, Inc.
• Kaiser Foundation Health Plan, Inc.
• Kelsey Kaku, PHARMD
• Brandon S Kang, LCSW
• Katharina Susan Karnavas, LMT
• Margot Karr
• Joshua D Kashkett, BS
• Kurtyss Alan Kasten, FNP-BC

• Geriatric Physical Therapist in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Geriatric Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.