Optimalcare Rehab,LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2421 Issued in HI

Legal business name

OPTIMALCARE REHAB,LLC

Practice address

1712 Liliha St Ste 302
Honolulu, HI 96817-3100

Phone

(808) 321-6280

NPI assigned

Apr 7, 2017

Organization subpart

No

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

Authorized official

Name

Vilma Fuentes, PT,DPTNPI 1578609897

Title

Physical Therapist

Phone

(808) 321-6280

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Vilma Fuentes

  • Physical Therapist
  • Honolulu, HI
  • NPI 1578609897
  NPD (past) Authorized official

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1972036796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 LILIHA ST STE 302",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173100",
            "telephone_number": "808-321-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 LILIHA ST STE 302",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173100",
            "telephone_number": "808-321-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMALCARE REHAB,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "VILMA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "808-321-6280",
        "authorized_official_credential": "PT,DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT2421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PROVIDER NUMBER 00A0251718",
            "identifier": "1578609897",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PROVIDER NUMBER 00A0251718",
            "identifier": "1578609897",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Honolulu, HI
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.