HALEIWA PHYSICAL THERAPY LLC (NPI# 1902264955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902264955 |
| Entity Type | Organization |
| Organization Name | HALEIWA PHYSICAL THERAPY LLC |
| Other Organization Name | HALEIWA PHYSICAL THERAPY |
| Practice Address |
66-590 Kamehameha Hwy Ste. 2f Haleiwa HI 96712 |
| Practice Telephone | 8086470112 |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2019-01-23 |
| Authorized Official Name | KEVIN J FOWLER (OWNER) |
| Authorized Official Telephone | 8082607210 |
| Authorized Official Credential | MPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
3261 | HI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 1902119621 | 05 |
| Other Name | Type Code |
|---|---|
| Haleiwa Physical Therapy | Doing Business As Name - Organization |
| Haleiwa Physical Therapy | Former Legal Business Name - Organization |
| Street Address |
66-590 KAMEHAMEHA HWY STE. 2F |
| City | HALEIWA |
| State | HI |
| Zip Code | 96712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326530 | Chloe Bonnie Yester | Nurse Practitioner | 59-401a Kam Hwy, Haleiwa, HI 96712 | 2020-08-10 |
| 1558927194 | Team Care Clinical Services, LLC | Community/Behavioral Health | 66-434 Kamehameha Hwy Ste B, Haleiwa, HI 96712 | 2019-05-17 |
| 1740722198 | Holdsambeck & Associates | Behavioral Analyst | 66-437 Kamehameha Hwy #95, Suite 300, Haleiwa, HI 96712 | 2016-11-15 |
| 1215348230 | Haleiwa Chiropractic Clinic, Inc. | Chiropractor | 66-560 Kamehameha Hwy., Suite 5, Haleiwa, HI 96712 | 2014-05-13 |
| 1972931517 | Julie Elersich | Massage Therapist | 66-008 A Kamehemeha Hwy, Haleiwa, HI 96712 | 2013-10-17 |
| 1639401375 | Autism Behavior Consulting Group, Inc | Community/Behavioral Health | 66-434 Kamehameha Highway, Haleiwa, HI 96712 | 2010-02-05 |
| 1235466848 | Paula Suzanne Cole | Acupuncturist | 59-229b Ke Nui Road, Haleiwa, HI 96712 | 2009-11-03 |
| 1942435441 | Dawn Kiyomi Kuriyama | Family Medicine | 66125 Kamehameha Hwy, Haleiwa, HI 96712 | 2009-05-27 |
| 1730345190 | Waikiki Health Center | Clinic/Center | 66-090 Kamehameha Hwy, Queen Liluokalani Protestant Church, Haleiwa, HI 96712 | 2008-08-04 |
| 1225248792 | Kenda Lee Mohica | Counselor | 59-518 Alapio Rd. Apt. A, Haleiwa, HI 96712 | 2007-05-23 |
| Find all providers in zip 96712 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497161772 | Recharge Therapy LLC | Clinic/Center | 59-794 Kamehameha Hwy, #a1, Haleiwa, HI 96712-9424 | 2014-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265056154 | Molokai Physical Therapy & Rehabilitation LLC | Clinic/Center | 109 Ala Malama St Unit A, Kaunakakai, HI 96748 | 2020-06-05 |
| 1225659857 | Hana Pono Wellness Center LLC | Clinic/Center | 2 Aarona Pl Ste 202, Kailua, HI 96734-2545 | 2020-05-05 |
| 1881213767 | Avery Physical Therapy LLC | Clinic/Center | 45-167 Keana Rd, Kaneohe, HI 96744-2317 | 2020-04-10 |
| 1427681204 | Prime Pt Wellness Clinic | Clinic/Center | 45-955 Kamehameha Hwy Ste 300, Kaneohe, HI 96744-3292 | 2020-02-19 |
| 1154962660 | Park Physical Therapy, LLC | Clinic/Center | 850 W Hind Dr Ste 108, Honolulu, HI 96821-1845 | 2019-10-05 |
| 1497305833 | Christine Lynders Physical Therapy | Clinic/Center | 44-672 Kahinani Pl Apt 3, Kaneohe, HI 96744-2500 | 2019-09-18 |
| 1548819790 | Live Pain Free Pt | Clinic/Center | 55 S Judd St Apt 808, Honolulu, HI 96817-2608 | 2019-09-10 |
| 1093278830 | Ronald Y Hanagami P T LLC | Clinic/Center | 99-862 Aiea Heights Dr, Aiea, HI 96701-3503 | 2019-04-09 |
| 1609332972 | Mauka Movement LLC | Clinic/Center | 81-965 Halekii St Ste C, Kealakekua, HI 96750-8164 | 2019-02-12 |
| 1922582865 | Komd Hawaii LLC | Clinic/Center | 55 S Judd St Apt 1004, Honolulu, HI 96817-2610 | 2018-09-17 |
| Find all providers with the same taxonomy | ||||
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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.