NPIMap

Organization Active NPI

Kailua Physical Therapy Clinic, Inc

  • Physical Therapist
  • Kailua, HI
National Provider Identifier
1992031330
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
707 Issued in HI
Legal business name
KAILUA PHYSICAL THERAPY CLINIC, INC
Practice address
155 Hamakua Dr Ste B
Kailua, HI 96734-2849
Phone
(808) 261-8931
Fax
(808) 261-0301
NPI assigned
Oct 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Ms. Maryann Gianantoni, LPT
Title
Physicial Therapist
Phone
(808) 261-8931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 707 HI Primary

Addresses

Primary practice location

155 Hamakua Dr Ste B
Kailua, HI 96734-2849

Mailing address

155 Hamakua Dr Ste B
Kailua, HI 96734-2849
Phone (808) 261-8931

Other identifiers 2

IdentifierTypeStateIssuer
707OtherHISTATE OF HAWAII PHYSICAL THERAPIST LICENSE
6955OtherHIMASSAGE THERAPIST

National Provider Directory

National Provider Directory
Tax ID family
Kailua Physical Therapy Clinic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

155 Hamakua Dr
Ste B
Kailua, HI 96734
Phone (808) 261-0301

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": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1992031330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HAMAKUA DR STE B",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342849",
            "telephone_number": "808-261-8931",
            "fax_number": "808-261-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HAMAKUA DR STE B",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342849",
            "telephone_number": "808-261-8931",
            "fax_number": "808-261-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAILUA PHYSICAL THERAPY CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "GIANANTONI",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "PHYSICIAL THERAPIST",
        "authorized_official_telephone_number": "808-261-8931",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF HAWAII PHYSICAL THERAPIST LICENSE",
            "identifier": "707",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "6955",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.