Healthcare Provider Details

I. General information

NPI: 1598837577
Provider Name (Legal Business Name): ORTHOPEDIC REHABILITATION SPECIALISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 KAPIOLANI BLVD SUITE 600
HONOLULU HI
96814-3801
US

IV. Provider business mailing address

1600 KAPIOLANI BLVD SUITE 600
HONOLULU HI
96814-3801
US

V. Phone/Fax

Practice location:
  • Phone: 808-979-0700
  • Fax: 808-979-0707
Mailing address:
  • Phone: 808-979-0700
  • Fax: 808-979-0707

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: CRAIG B NAGATA
Title or Position: PRESIDENT
Credential: PT
Phone: 808-979-0700