NPIMap

Organization Active NPI

Therapydia, Inc.

  • Physical Therapy Clinic/Center
  • Kailua Kona, HI
National Provider Identifier
1972927119
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
THERAPYDIA, INC.
Practice address
78-6831 Alii Dr
#420
Kailua Kona, HI 96740-2495
Phone
(415) 533-4863
NPI assigned
Feb 7, 2014
Last updated
Feb 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Authorized official

Name
Leah Nottingham
Title
VP, Clinic Services
Phone
(415) 533-4863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

78-6831 Alii Dr
#420
Kailua Kona, HI 96740-2495

Mailing address

18 E Blithedale Ave
Suite 21
Mill Valley, CA 94941-1908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140725000178 HI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2264678226 Receives reassigned benefits from 7 practitioners
Practice locations: Aiea, HI; Kailua Kona, HI

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Therapydia Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1972927119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 E BLITHEDALE AVE",
            "address_2": "SUITE 21",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78-6831 ALII DR",
            "address_2": "#420",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402495",
            "telephone_number": "415-533-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPYDIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "NOTTINGHAM",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "VP, CLINIC SERVICES",
        "authorized_official_telephone_number": "415-533-4863"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.