NPI Code Detail JSON Logo

1407925753 NPI number — HAWAII PHYSICAL THERAPY & CHIROPRACTIC CLINIC, INC.

NPI Number: 1407925753
Health Care Provider/Practitioner: HAWAII PHYSICAL THERAPY & CHIROPRACTIC CLINIC, INC.

Information about “1407925753” NPI (HAWAII PHYSICAL THERAPY & CHIROPRACTIC CLINIC, INC.) exists in 1407925753 in HTML format HTML  |  1407925753 in plain Text format TXT  |  1407925753 in PDF (Portable Document Format) PDF  |  1407925753 in an XML format XML  formats.

NPI Number : 1407925753 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407925753",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HAWAII PHYSICAL THERAPY & CHIROPRACTIC CLINIC, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "261 WAIANUENUE AVENUE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HILO",
    "MailingAddressStateName": "HI",
    "MailingAddressPostalCode": "96720-2438",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "808-961-5663",
    "MailingAddressFaxNumber": "808-969-3767",
    "FirstLinePracticeLocationAddress": "261 WAIANUENUE AVENUE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HILO",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96720-2438",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-961-5663",
    "PracticeLocationAddressFaxNumber": "808-969-3767",
    "EnumerationDate": "11/08/2006",
    "LastUpdateDate": "08/26/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LEITE - AH YO",
    "AuthorizedOfficialFirstName": "HARVELEE",
    "AuthorizedOfficialMiddleName": "HEALANI",
    "AuthorizedOfficialTitle": "PRESIDENT, CLINICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "R,P.T., D.C.",
    "AuthorizedOfficialTelephoneNumber": "808-961-5663",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "DC597",
          "LicenseNumberStateCode": "HI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "PT742",
          "LicenseNumberStateCode": "HI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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