Unknown Individual – Physical Therapist, NPI 1003922261
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 63188
EWA BEACH, HI 96706
Phone: (808) 779-2744
Fax: (808) 674-9696
Type: Mailing
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
Type: Location
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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 96706)
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