Active NPI
Michael K Maresca, PT
- Physical Therapist
- Honolulu, HI
National Provider Identifier
1992997266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT - 1588
- Practice address
- 500 Ala Moana Blvd
Suite 1-302
Honolulu, HI 96813-4920 - Phone
- (808) 284-0824
- Fax
- (808) 739-0824
- NPI assigned
- Aug 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT - 1588 | HI | Primary |
Addresses
Primary practice location
500 Ala Moana Blvd
Suite 1-302
Honolulu, HI 96813-4920
Mailing address
2258 Palolo Ave
Honolulu, HI 96816-3122
Phone (808) 284-0824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
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
Practice addresses (Care Compare)
1972 Iwi Way
Honolulu, HI 96816-3908
Phone (808) 548-0824
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT - 1588 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maresca Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Elam Sports, Inc | Physical Therapist | Past | Accepting new patients |
| Hawaii Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Zeng Chiropractic Center LLC | Past | Accepting new patients | |
| Windward Rehabilitation Services, LLC | Physical Therapist | Past | Accepting new patients |
| Warfighter'S Clinic | Past | Accepting new patients | |
| Fit Therapy LLC | Past | Accepting new patients | |
| Elam Sports, Inc. | Physical Therapist | Past | Accepting new patients |
| North Lake Physical Therapy and Rehabilitation, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
500 Ala Moana Blvd
Ste 1300
Honolulu, HI 96813
Phone (808) 528-3657
500 Ala Moana Blvd
Ste 1302
Honolulu, HI 96813
Phone (808) 284-3601
Organizations & group practices 9
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.
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-
- Physical Therapy Clinic/Center
- Honolulu, HI
- NPI 1962656553
-
- Physical Therapist
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- NPI 1679606313
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- Kailua, HI
- NPI 1588697932
-
- Chiropractor
- Honolulu, HI
- NPI 1639219017
-
- Physical Therapist
- Portland, OR
- NPI 1376810671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311552000000",
"number": "1992997266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2258 PALOLO AVE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968163122",
"telephone_number": "808-284-0824",
"fax_number": "808-739-0824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ALA MOANA BLVD",
"address_2": "SUITE 1-302",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134920",
"telephone_number": "808-284-0824",
"fax_number": "808-739-0824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARESCA",
"first_name": "MICHAEL",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-10",
"last_updated": "2011-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT - 1588",
"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 25, 2011; 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.