Matthew R Kociuba (NPI# 1548818610, PAC ID# 5496086571) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1548818610 |
| PAC ID by PECOS | 5496086571 |
| Professional Enrollment ID | I20191004001095 |
| Full Name | Matthew R Kociuba |
| Organization Legal Name | SOUTH SHORE PHYSICAL THERAPY AND SPORTSMEDICINE INC |
| Address |
40 Kupuohi St Suite 105 Lahaina HI 96761-2714 |
| Phone Number | 8086610077 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 5799788808 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 40 Kupuohi St, Suite 105, Lahaina, HI 96761-2714 | 8086610077 | SOUTH SHORE PHYSICAL THERAPY AND SPORTSMEDICINE INC |
| Organization Legal Name | SOUTH SHORE PHYSICAL THERAPY AND SPORTSMEDICINE INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean C Jonick | Occupational Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 1827 Wells St, Suite 2, Wailuku, HI 96793-2370 |
| Andrew Colin Fuqua | Physical Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 40 Kupuohi St, Suite 105, Lahaina, HI 96761-2714 |
| Leda S Jellum | Physical Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 380 Huku Lii Pl, Suite 105, Kihei, HI 96753-7043 |
| Scott R Smith | Physical Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 1827 Wells St, Suite 2, Wailuku, HI 96793-2370 |
| Elizabeth Barrett | Physical Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 40 Kupuohi St, Suite 105, Lahaina, HI 96761-2714 |
| Alayna R Betsill | Physical Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 40 Kupuohi St, Suite 105, Lahaina, HI 96761-2714 |
| Pedro R Ferrer | Physical Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 380 Huku Lii Pl, Suite 105, Kihei, HI 96753-7043 |
| Tiffany G Prangnell | Physical Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 380 Huku Lii Pl, Suite 105, Kihei, HI 96753-7043 |
| Kelly Lynn Mccormick | Physical Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 380 Huku Lii Pl, Suite 105, Kihei, HI 96753-7043 |
| Street Address |
40 KUPUOHI ST SUITE 105 |
| City | LAHAINA |
| State | HI |
| Zip | 96761-2714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Wing Lee | Podiatry | 40 Kupuohi St, Suite 204, Lahaina, HI 96761-2714 | |
| Andrew Colin Fuqua | Physical Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 40 Kupuohi St, Suite 105, Lahaina, HI 96761-2714 |
| Elizabeth Barrett | Physical Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 40 Kupuohi St, Suite 105, Lahaina, HI 96761-2714 |
| Alayna R Betsill | Physical Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 40 Kupuohi St, Suite 105, Lahaina, HI 96761-2714 |
| Tina Sosa | Occupational Therapy | Southshore Physical Therapy and Sportsmedicine | 40 Kupuohi St, Suite 105, Lahaina, HI 96761-2714 |
| Christine M Lachance | Physical Therapy | Southshore Physical Therapy and Sportsmedicine | 40 Kupuohi St, Suite 105, Lahaina, HI 96761-2714 |
| Jennifer Ann Chase | Physical Therapy | Southshore Physical Therapy and Sportsmedicine | 40 Kupuohi St, Lahaina, HI 96761-2714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael C Aaronoff | Obstetrics/gynecology | Community Clinic of Maui, Inc. | 15 Ipu Aumakua Ln, Lahaina, HI 96761-1193 |
| Aaron Altura | Obstetrics/gynecology | Community Clinic of Maui, Inc. | 15 Ipu Aumakua Ln, Lahaina, HI 96761-1193 |
| Ivy Lou Hibbitt | Nurse Practitioner | Community Clinic of Maui, Inc. | 15 Ipu Aumakua Ln, Lahaina, HI 96761-1193 |
| Jason M Laird | Internal Medicine | Community Clinic of Maui, Inc. | 15 Ipu Aumakua Ln, Lahaina, HI 96761-1193 |
| Jaimie Mariko Johnson | Obstetrics/gynecology | Community Clinic of Maui, Inc. | 15 Ipu Aumakua Ln, Lahaina, HI 96761-1193 |
| Erik L Russell | Internal Medicine | Community Clinic of Maui, Inc. | 15 Ipu Aumakua Ln, Lahaina, HI 96761-1193 |
| Daniel Nead | Psychologist, Clinical | Community Clinic of Maui, Inc. | 15 Ipu Aumakua Ln, Lahaina, HI 96761-1193 |
| Naomi M Tamparong | Nurse Practitioner | Community Clinic of Maui, Inc. | 15 Ipu Aumakua Ln, Lahaina, HI 96761-1193 |
| John Vaz | Internal Medicine | Community Clinic of Maui, Inc. | 15 Ipu Aumakua Ln, Lahaina, HI 96761-1193 |
| Duffy Casey | Obstetrics/gynecology | Community Clinic of Maui, Inc. | 15 Ipu Aumakua Ln, Lahaina, HI 96761-1193 |
| Find all physicians in zip 96761 | |||
| City | LAHAINA |
| Zip Code | 96761 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | LAHAINA + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.