Healthcare Provider Details

I. General information

NPI: 1861721011
Provider Name (Legal Business Name): MARSHALL H ORR JR MS MPT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2009
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

688 KINOOLE ST #120
HILO HI
96720-0381
US

IV. Provider business mailing address

688 KINOOLE ST @120
HILO HI
96720
US

V. Phone/Fax

Practice location:
  • Phone: 808-934-0481
  • Fax: 808-443-0604
Mailing address:
  • Phone: 808-934-0481
  • Fax: 808-443-0604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT 2082
License Number StateHI

VIII. Authorized Official

Name: DR. MARSHALL HUGH ORR JR.
Title or Position: OWNER
Credential: MS MPT DPT
Phone: 808-934-0481