Active NPI
Barron Lynn Fackler, P.T.
- Physical Therapist
- Kealakekua, HI
National Provider Identifier
1972678761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1736
- Practice address
- 79-1019 Haukapila St
Kona Community Hospital
Kealakekua, HI 96750-7920 - Phone
- (808) 322-4475
- Fax
- (808) 322-4539
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- 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 | 1736 | HI | Primary |
Addresses
Primary practice location
79-1019 Haukapila St
Kona Community Hospital
Kealakekua, HI 96750-7920
Mailing address
PO Box 76
Kealakekua, HI 96750-0076
Phone (808) 328-8173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1736 | HI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972678761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 76",
"city": "KEALAKEKUA",
"state": "HI",
"postal_code": "967500076",
"telephone_number": "808-328-8173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79-1019 HAUKAPILA ST",
"address_2": "KONA COMMUNITY HOSPITAL",
"city": "KEALAKEKUA",
"state": "HI",
"postal_code": "967507920",
"telephone_number": "808-322-4475",
"fax_number": "808-322-4539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FACKLER",
"first_name": "BARRON",
"middle_name": "LYNN",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "1736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kealakekua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.