Keaau Physical Therapy Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KEAAU PHYSICAL THERAPY INC.

Practice address

16-570 Keaau Pahoa Rd
Keaau, HI 96749-8105

Phone

(808) 966-7478

Fax

(808) 966-7479

NPI assigned

Sep 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ned Ken Shimabukuro, PTNPI 1639201924

Title

President

Phone

(808) 966-7478

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ned Ken Shimabukuro, PT

  • Physical Therapist
  • Keaau, HI
  • NPI 1639201924
  NPD (past) Authorized official

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

{
    "created_epoch": "1189900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189900800000",
    "number": "1992991715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16-570 KEAAU PAHOA RD",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "967498105",
            "telephone_number": "808-966-7478",
            "fax_number": "808-966-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16-570 KEAAU PAHOA RD",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "967498105",
            "telephone_number": "808-966-7478",
            "fax_number": "808-966-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEAAU PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-16",
        "last_updated": "2007-09-16",
        "status": "A",
        "authorized_official_last_name": "SHIMABUKURO",
        "authorized_official_first_name": "NED",
        "authorized_official_middle_name": "KEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-966-7478",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02588291",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richelle Kaku
• Herbert Kamada
• Jason Kaopua, DMD
• Kau Hospital
• Donnelle Kalani Kawaauhau
• Christine Shizue Keanu, LCSW
• Kahealani Keliihoomalu
• Jeanella Keopuhiwa, LMT
• Kipaipai Counseling LLC
• Kipuka Counseling and Consulting, LLC

• Physical Therapy Clinic/Center in Keaau, HI
• Providers in Keaau, 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 Sep 16, 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.