Organization Active NPI

Seashore Inc

  • Physical Therapist
  • Kaneohe, HI
National Provider Identifier
1992910400
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SEASHORE INC
Practice address
45-1144 Kamehameha Hwy
Suite 305
Kaneohe, HI 96744-3244
Phone
(808) 235-7999
Fax
(808) 235-7992
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Ms. Gretchen Amy Seashore Botha
Title
Owner
Phone
(808) 235-7999

Specialties & licenses 1

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

Addresses

Primary practice location

45-1144 Kamehameha Hwy
Suite 305
Kaneohe, HI 96744-3244

Mailing address

45-1144 Kamehameha Hwy
Suite 305
Kaneohe, HI 96744-3244
Phone (808) 235-7999

Other identifiers 1

IdentifierTypeStateIssuer
50023201MedicaidHI

Other names 1

  • aloha physical therapy Doing business as

National Provider Directory

National Provider Directory

Locations

45-1144 Kamehameha Hwy
Ste 305
Kaneohe, HI 96744
Phone (808) 235-7999

45-1144 Kamehameha Hwy
Ste 200C
Kaneohe, HI 96744

Practitioners & affiliated clinicians

Practitioners 3

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1992910400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-1144 KAMEHAMEHA HWY",
            "address_2": "SUITE 305",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443244",
            "telephone_number": "808-235-7999",
            "fax_number": "808-235-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-1144 KAMEHAMEHA HWY",
            "address_2": "SUITE 305",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443244",
            "telephone_number": "808-235-7999",
            "fax_number": "808-235-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASHORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "SEASHORE BOTHA",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-235-7999",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50023201",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "aloha physical therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.