Active NPI
Eleu Physical Therapy
- Physical Therapy Clinic/Center
- Kaneohe, HI
National Provider Identifier
1972216430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- ELEU PHYSICAL THERAPY
- Practice address
- 47-388 Hui Iwa St Ste 21B
Kaneohe, HI 96744-4416 - Phone
- (808) 233-9219
- Fax
- (808) 444-3744
- NPI assigned
- Dec 29, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Tyler, DPT
- Title
- Owner/Provider
- Phone
- (808) 233-9219
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
47-388 Hui Iwa St Ste 21B
Kaneohe, HI 96744-4416
Mailing address
46-036 Kam Hwy Unit 5124
Kaneohe, HI 96744-7711
Phone (808) 233-9219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 815293 | Medicaid | HI |
Other names 1
- Edward Tyler
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://provider.kareo.com/edward-tyler |
National Provider Directory
National Provider DirectoryLocations
47-388 Hui Iwa St
Ste 21B
Kaneohe, HI 96744
Phone (757) 947-6006
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Kaneohe, HI
- NPI 1851827570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672272000000",
"number": "1972216430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46-036 KAM HWY UNIT 5124",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967447711",
"telephone_number": "808-233-9219",
"fax_number": "808-444-3744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47-388 HUI IWA ST STE 21B",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967444416",
"telephone_number": "808-233-9219",
"fax_number": "808-444-3744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEU PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-29",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A",
"authorized_official_last_name": "TYLER",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "808-233-9219",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "815293",
"state": "HI"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://provider.kareo.com/edward-tyler",
"affiliation": "N",
"endpointDescription": "Provider Profile/Org Website",
"address_1": "47-388 Hui Iwa St Ste 21B",
"city": "Kaneohe",
"state": "HI",
"country_code": "US",
"postal_code": "967444416",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Edward Tyler",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kaneohe, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.