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NPI Code Detail

MEDICARE: PT HAWAII, INC

MEDICARE: PT HAWAII, 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
1225100000XPhysical TherapistPT2025HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10000231688OTHERHIHMSA QUEST
200A0231686OTHERHIBCBS/HMSA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
40000231688OTHERHIHMSA 65C

General Provider Information

NPI Number : 1639124654
Entity Type Code : Organization
Provider Name (Legal Business Name) : PT HAWAII, INC
Provider Business Mailing Address
First Line : 91-2135 FORT WEAVER ROAD
Second Line : SUITE 170
City : EWA BEACH
State : HI
Zip : 96706-1929
Country : US
Telephone Number : 808-676-5331
Fax Number : 808-671-2931
Provider Business Practice Location Address
First Line : 91-2139 FORT WEAVER RD
Second Line : 202
City : EWA BEACH
State : HI
Zip : 96706-3607
Country : US
Telephone Number : 808-677-5110
Fax Number : 808-671-2931
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : RICHARD H GROVER
Credential :
Telephone Number : 808-227-4900
Provider Enumeration Date : 05/24/2006
Last Update Date : 07/21/2022

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Directions to “PT HAWAII, INC ” Practice Location

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