MEDICARE: MRS. CARRIE L CARONELLO PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	857	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831288984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CARRIE L CARONELLO PT

Provider Business Mailing Address
First Line	:	1650 LILIHA ST STE 107
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96817-3169
Country	:	US
Telephone Number	:	808-536-6117
Fax Number	:	808-587-7727

Provider Business Practice Location Address
First Line	:	803 KAMEHAMEHA HWY STE 310
Second Line	:
City	:	PEARL CITY
State	:	HI
Zip	:	96782-2638
Country	:	US
Telephone Number	:	808-456-8885
Fax Number	:	808-587-7727

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1316058324 — DR. BRIAN KW LAU DENTIST
Practice Location Address:

803 KAMEHAMEHA HWY , #300
PEARL CITY, HI
96782-2638

Practice Phone: 808-456-8552
Practice Fax: 808-456-2622

1922119908 — DR. KATHY K TOMASU DENTIST
Practice Location Address:

803 KAMEHAMEHA HWY , #300
PEARL CITY, HI
96782-2638

Practice Phone: 808-456-8552
Practice Fax: 808-456-2622

1942311931 — DR. CLARENCE YL CHINN PROSTHODONTIST
Practice Location Address:

803 KAMEHAMEHA HWY , SUITE 300
PEARL CITY, HI
96782-2638

Practice Phone: 808-455-7400
Practice Fax: 808-456-2622

1194878207 — DR. JENNIFER OTYLIA BROAD D.C.
Practice Location Address:

803 KAMEHAMEHA HWY STE 309
PEARL CITY, HI
96782-2638

Practice Phone: 808-456-5553
Practice Fax: 808-455-6520

1265586747 — DR. CHRISTOPHER MITCHELL NOWICKI D.C., D.A.B.C.O
Practice Location Address:

803 KAMEHAMEHA HWY STE 309
PEARL CITY, HI
96782-2638

Practice Phone: 808-456-5553
Practice Fax: 808-455-6520

1184778565 — PEARL CITY CHIROPRACTIC, LLC
Practice Location Address:

803 KAMEHAMEHA HWY STE 309
PEARL CITY, HI
96782-2638

Practice Phone: 808-456-5553
Practice Fax: 808-455-6520

Directions to “ MRS. CARRIE L CARONELLO PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.