Organization Active NPI

Eleu Physical Therapy

  • Physical Therapy Clinic/Center
  • Kaneohe, HI
National Provider Identifier
1972216430
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Dec 29, 2022

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

Authorized official

Name
Edward Tyler, DPTNPI 1851827570
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
815293MedicaidHI

Other names 1

  • Edward Tyler Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://provider.kareo.com/edward-tyler

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.