MRS. TRACEYLIN SALES CROUCH (NPI# 1649487828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649487828 |
| Entity Type | Individual |
| Full Name | MRS. TRACEYLIN SALES CROUCH |
| Credential | MPT |
| Practice Address |
1615 Kalaepaa Dr Honolulu HI 96819-3010 |
| Practice Telephone | 8089902060 |
| Mailing Telephone | 8089902060 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2016-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PTL0010328 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT1390 | HI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1615 KALAEPAA DR |
| City | HONOLULU |
| State | HI |
| Zip Code | 96819-3010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507621 | Corrie Sanders | Pharmacist | 450 Patterson Rd, Honolulu, HI 96819 | 2020-01-17 |
| 1245870526 | Ouida Searay Vaillancourt | Dental Hygienist | 339 Mongomery Ave, Honolulu, HI 96819 | 2020-01-14 |
| 1942852660 | Kolea Home Care | In Home Supportive Care | 2229 Kula Kolea Drive, Honolulu, HI 96819 | 2019-07-12 |
| 1164957882 | Kathleen Oliver | Student in an Organized Health Care Education/Training Program | 2229 North School St., Kokua Kalihi Valley Health Center, Honolulu, HI 96819 | 2017-05-01 |
| 1720436058 | Aaron Taniguchi | Physical Therapist | 1740 Ala Aolani St, Honolulu, HI 96819 | 2016-05-26 |
| 1770940892 | Tracy Lynne Khan Fernando | Nurse Practitioner | 2239 N. School St., Kokua Kalihi Valley, Honolulu, HI 96819 | 2016-01-20 |
| 1275961385 | Gavino T. Vinzons M.d, Inc | Family Medicine | 2055 N. King St. Ste 102, Honolulu, HI 96819 | 2013-10-29 |
| 1407195118 | Candace Adeline Schumacher | Licensed Vocational Nurse | 1460 Ala Aolani, Honolulu, HI 96819 | 2013-02-01 |
| 1750629556 | Benjamin L Kilinski | Nurse Practitioner | 1803 Kamehameha Iv Road, Honolulu, HI 96819 | 2013-01-29 |
| 1366701047 | Doreen Anela Oura Ramseyer | Case Manager/Care Coordinator | 1130 N. Nimitz Hwy., C-301, Honolulu, HI 96819 | 2012-05-15 |
| Find all providers in zip 96819 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881180875 | Lin Fitness Company, LLC. | Physical Therapist | 5653 Pia St, Honolulu, HI 96821-2026 | 2018-07-02 |
| 1932269297 | Kenneth Takeshi Nakasone | Physical Therapist | 914a Coolidge St, Honolulu, HI 96826-3031 | 2006-12-09 |
| 1316019581 | Michael Dean Turner | Physical Therapist | 5216 Hao Pl Apt A, Honolulu, HI 96821-1653 | 2006-11-14 |
| 1295806347 | Elizabeth Tanaka | Physical Therapist | 3420 Alohea Ave, Honolulu, HI 96816-2206 | 2006-11-12 |
| 1639111784 | Kevin O Rourke Ching | Physical Therapist | 863 Halekauwila St, Honolulu, HI 96813-5317 | 2006-06-12 |
| 1083652457 | Integral Rehab LLC | Physical Therapist | 1481 S King St Ste 224, Honolulu, HI 96814-2602 | 2006-06-04 |
| 1750941084 | Garrett Yamamoto | Physical Therapist | 320 Ward Ave Ste 107, Honolulu, HI 96814-4016 | 2019-06-18 |
| 1760841746 | Apex Physical Therapy Specialists | Physical Therapist | 1314 S King St, #1451, Honolulu, HI 96814-1956 | 2016-02-18 |
| 1326464694 | Franz Yuen Physical Therapy LLC | Physical Therapist | 2226 Liliha St, Suite 404, Honolulu, HI 96817-1600 | 2014-03-11 |
| 1881035186 | Breanna Posey | Physical Therapist | 863 Halekauwila St, Honolulu, HI 96813-5325 | 2013-07-15 |
| Find all providers in HONOLULU | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.