Individual provider Active NPI

Suzanna Lynn Neufeldt, PT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1992863351
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1628 Issued in HI
Practice address
1027 Hala Dr
Honolulu, HI 96817-2124
Phone
(808) 832-6130
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1628 HI Primary

Addresses

Primary practice location

1027 Hala Dr
Honolulu, HI 96817-2124

Mailing address

3558A Woodlawn Dr
Honolulu, HI 96822-1450
Phone (808) 988-1217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070731000408 HI Practitioner - Physical Therapist in Private Practice 5496856775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ptworks, LLCGroup PAC ID 3577650555, 6 clinicians

Practice addresses (Care Compare)

1111 Hala Dr
Honolulu, HI 96817-2157
Phone (808) 554-0611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1628HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ptworks, LLC Physical Therapist CurrentSince Oct 1, 2007 Accepting new patients
South Shore Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

91-1121 Keaunui Dr
Ste 108155
Ewa Beach, HI 96706

Organizations & group practices 2

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992863351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3558A WOODLAWN DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221450",
            "telephone_number": "808-988-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 HALA DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172124",
            "telephone_number": "808-832-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUFELDT",
        "first_name": "SUZANNA",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "1628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, 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.
  • 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.

Verify at the official NPI Registry.