Individual provider Active NPI

Susan Gianlorenzo, PT

  • Physical Therapist
  • Kula, HI
National Provider Identifier
1962459818
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-1969 Issued in HI
Practice address
2854 Omaopio Rd
Kula, HI 96790-8865
Phone
(808) 250-6723
NPI assigned
May 27, 2006
Last updated
Nov 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-1969 HI Primary

Addresses

Primary practice location

2854 Omaopio Rd
Kula, HI 96790-8865

Mailing address

2854 Omaopio Rd
Kula, HI 96790-8865
Phone (808) 250-6723

Other identifiers 2

IdentifierTypeStateIssuer
00E0228436OtherHIHMSA BILLING NUMBER
49588906MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061003000746 HI Practitioner - Physical Therapist in Private Practice 1759386329 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2854 Omaopio Rd
Kula, HI 96790-8865
Phone (808) 250-6723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-1969HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan Inc Current Accepting new patients
Kaiser Foundation Health Plan, Inc CurrentSince Mar 28, 2016 Accepting new patients
Kaiser Foundation Health Plan Inc CurrentSince Mar 28, 2016 Accepting new patients
MF Med Inc CurrentSince Sep 8, 2021 Accepting new patients
Kula Lani Physical Therapy LLC Physical Therapist CurrentSince Jan 4, 2025 Accepting new patients
Workstar Occupational Health Systems Inc CurrentSince Nov 7, 2023 Accepting new patients

Locations

500 Ala Moana Blvd
Ste 6D
Honolulu, HI 96813
Phone (808) 777-4000

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

75-184 Hualalai Rd
Ste 302
Kailua Kona, HI 96740
Phone (808) 329-0111

599 Farrington Hwy
Kapolei, HI 96707
Phone (808) 432-3600

599 Farrington Hwy
Ste 2
Kapolei, HI 96707
Phone (808) 676-5331

100 Kahelu Ave
Ste 105
Mililani, HI 96789
Phone (808) 329-0111

80 Mahalani St
Wailuku, HI 96793
Phone (808) 243-6000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732924800000",
    "number": "1962459818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2854 OMAOPIO RD",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967908865",
            "telephone_number": "808-250-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2854 OMAOPIO RD",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967908865",
            "telephone_number": "808-250-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANLORENZO",
        "first_name": "SUSAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-1969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BILLING NUMBER",
            "identifier": "00E0228436",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49588906",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kula, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; 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.