Healthcare Provider Details

I. General information

NPI: 1205608460
Provider Name (Legal Business Name): PTX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2023
Last Update Date: 05/10/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1535 PENSACOLA ST STE C5
HONOLULU HI
96822-3878
US

IV. Provider business mailing address

1535 PENSACOLA ST STE C5
HONOLULU HI
96822-3878
US

V. Phone/Fax

Practice location:
  • Phone: 808-726-5434
  • Fax: 808-758-7365
Mailing address:
  • Phone: 808-726-5434
  • Fax: 808-758-7365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIAN DOUGLAS JONES
Title or Position: OWNER/PRACTITIONER
Credential: DPT
Phone: 808-214-2478