MEDICARE: PTX, LLC DBA VIRTUAL PT HAWAII

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1205608460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PTX, LLC DBA VIRTUAL PT HAWAII

Provider Business Mailing Address
First Line	:	1535 PENSACOLA ST STE C5
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96822-3878
Country	:	US
Telephone Number	:	808-726-5434
Fax Number	:	808-758-7365

Provider Business Practice Location Address
First Line	:	1535 PENSACOLA ST STE C5
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96822-3878
Country	:	US
Telephone Number	:	808-726-5434
Fax Number	:	808-758-7365

Authorized Official
Title or Position	:	OWNER/PRACTITIONER
Name	:	DR. BRIAN DOUGLAS JONES
Credential	:	DPT
Telephone Number	:	808-726-5434

Provider Enumeration Date	:	10/23/2023
Last Update Date	:	06/03/2026

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