Healthcare Provider Details
I. General information
NPI: 1235969239
Provider Name (Legal Business Name): SUMMER GILBERT DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/05/2024
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5722 KALANIANAOLE HWY
HONOLULU HI
96821-2388
US
IV. Provider business mailing address
5722 KALANIANAOLE HWY
HONOLULU HI
96821-2388
US
V. Phone/Fax
- Phone: 808-373-3555
- Fax: 808-373-3666
- Phone: 808-373-3555
- Fax: 808-373-3666
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | PT6193 |
| License Number State | HI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 306431 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: