Therapeutic Fusion: Physical Therapy and Wellness,LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT-2017 Issued in HI

Legal business name

THERAPEUTIC FUSION: PHYSICAL THERAPY AND WELLNESS,LLC

Practice address

310 Ohukai Rd
Suite 310
Kihei, HI 96753-7061

Phone

(808) 891-1188

Fax

(808) 875-0775

NPI assigned

Oct 9, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Heather Leigh Ardoin, PT

Title

Physical Therapist/Owner

Phone

(808) 891-1188

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1982939807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 HONUHULA ST",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536086",
            "telephone_number": "808-891-1188",
            "fax_number": "808-875-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 OHUKAI RD",
            "address_2": "SUITE 310",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537061",
            "telephone_number": "808-891-1188",
            "fax_number": "808-875-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC FUSION: PHYSICAL THERAPY AND WELLNESS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "ARDOIN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "808-891-1188",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "HI",
            "license": "PT-2017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Homayon M. Tavakoli, M.D.
• Dianna J Tavares
• Cathrine Tellez Perez
• Linda M Tetor, MD
• Maribeth Theisen, MSW, LCSW
• Therapist Near Me LLC
• Jeffrey Thomas, DDS
• Jonathan Mac Thomas, D.D.S.
• Dominique Times
• Barbara Timo, LMT

• Physical Therapy Clinic/Center in Kihei, HI
• Providers in Kihei, HI by specialty
• Physical Therapy Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.