MEDICARE: THPT, INC

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	225100000X	Physical Therapist	PT979	HI

General Provider Information

NPI Number	:	1619960275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THPT, INC

Provider Business Mailing Address
First Line	:	850 W HIND DR
Second Line	:	SUITE 201
City	:	HONOLULU
State	:	HI
Zip	:	96821-1855
Country	:	US
Telephone Number	:	808-377-5605
Fax Number	:	808-377-5604

Provider Business Practice Location Address
First Line	:	850 W HIND DR
Second Line	:	SUITE 201
City	:	HONOLULU
State	:	HI
Zip	:	96821-1855
Country	:	US
Telephone Number	:	808-377-5605
Fax Number	:	808-377-5604

Authorized Official
Title or Position	:	CEO
Name	:	MR. THOMAS J HARRER
Credential	:	PT
Telephone Number	:	808-377-5605

Provider Enumeration Date	:	08/29/2005
Last Update Date	:	08/22/2020

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