Healthcare Provider Details

I. General information

NPI: 1720500150
Provider Name (Legal Business Name): NELSON COSTA ALMEIDA PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2017
Last Update Date: 11/19/2021
Certification Date: 11/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

599 FARRINGTON HWY STE 206
KAPOLEI HI
96707-2028
US

IV. Provider business mailing address

1401 S BERETANIA ST STE 550
HONOLULU HI
96814-1880
US

V. Phone/Fax

Practice location:
  • Phone: 808-381-8947
  • Fax: 800-586-4356
Mailing address:
  • Phone: 808-381-8947
  • Fax: 800-586-4356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number26530
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number26530
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-5304
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: