Active NPI
Maya Laura Grodzka, DPT
- Physical Therapist
- Hilo, HI
National Provider Identifier
1972302404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6106
- Practice address
- 69 Railroad Ave # A4
Hilo, HI 96720-7509 - Phone
- (808) 339-7861
- NPI assigned
- Mar 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6106 | HI | Primary |
Addresses
Primary practice location
69 Railroad Ave # A4
Hilo, HI 96720-7509
Mailing address
69 Railroad Ave # A4
Hilo, HI 96720-7509
Phone (808) 339-7861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
69 Railroad Ave
Suite A4
Hilo, HI 96720-7509
Phone (808) 339-7861
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6106 | HI | MD | Reflexologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Wellness Hawaii LLC | Physical Therapist | Current | Accepting new patients |
Locations
69 Railroad Ave
Ste A4
Hilo, HI 96720
Phone (808) 339-7861
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741392000000",
"number": "1972302404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 RAILROAD AVE # A4",
"city": "HILO",
"state": "HI",
"postal_code": "967207509",
"telephone_number": "808-339-7861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 RAILROAD AVE # A4",
"city": "HILO",
"state": "HI",
"postal_code": "967207509",
"telephone_number": "808-339-7861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRODZKA",
"first_name": "MAYA",
"middle_name": "LAURA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-08",
"last_updated": "2025-03-08",
"certification_date": "2025-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "6106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; 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.