Unknown Individual – Physical Therapist, NPI 1417036971
Physical Therapist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1001, Kamokila Boulevard, City Center, Makakilo City, Kapolei, Honolulu County, Hawaii, 96707, United States
SUITE 111 JCB
KAPOLEI, HI 967072014
Phone: (808) 674-9595
Fax: (808) 674-9696
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 90 | 12 | $0 |
Insurance plans in this area (ZIP 96707)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | HI | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 247 | 42 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | VA | |
| - | NJ | |
| Physical Therapist In Private Practice | HI | |
| - | HI | |
| Physical Therapist In Private Practice | HI | |
| Physical Therapist In Private Practice | HI | |
| Physical Therapist In Private Practice | AR |
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