NPIMap

Organization Active NPI

Breakthrough Rehab, Inc.

  • Customized Equipment (DME)
  • Honolulu, HI
National Provider Identifier
1992904981
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
BREAKTHROUGH REHAB, INC.
Practice address
3465 Waialae Ave
Suite 102
Honolulu, HI 96816-2650
Phone
(808) 753-7617
Fax
(808) 735-3556
NPI assigned
Jul 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Dayle Mari Tada, OTRNPI 1285737593
Title
Vice-President
Phone
(808) 753-7617

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

3465 Waialae Ave
Suite 102
Honolulu, HI 96816-2650

Mailing address

3465 Waialae Ave
Suite 102
Honolulu, HI 96816-2650
Phone (808) 753-7617

National Provider Directory

National Provider Directory
Tax ID family
Breakthrough Rehab2 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

3465 Waialae Ave
Ste 102
Honolulu, HI 96816
Phone (808) 753-7617

Practitioners & affiliated clinicians

Practitioners 3

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": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992904981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 WAIALAE AVE",
            "address_2": "SUITE 102",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162650",
            "telephone_number": "808-753-7617",
            "fax_number": "808-735-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 WAIALAE AVE",
            "address_2": "SUITE 102",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162650",
            "telephone_number": "808-753-7617",
            "fax_number": "808-735-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TADA",
        "authorized_official_first_name": "DAYLE",
        "authorized_official_middle_name": "MARI",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "808-753-7617",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.