Big Island Physical Therpay Care | |
740 Kilauea Avenue, Hilo, HI 96720 | |
(808) 935-5255 | |
(808) 961-9044 |
Full Name | Big Island Physical Therpay Care |
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Type | Facility |
Speciality | Clinic/center - Rehabilitation |
Location | 740 Kilauea Avenue, Hilo, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629309331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-3052 (Hawaii) | Secondary |
261QR0400X | Clinic/center - Rehabilitation | PT-3052 (Hawaii) | Primary |
Provider Name | Shauna Ka'iulani Russell |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841419025 PECOS PAC ID: 5991849796 Enrollment ID: I20100607000211 |
Provider Name | Sonny Santiago |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437601473 PECOS PAC ID: 3274816418 Enrollment ID: I20170213001865 |
Provider Name | Linda Thuy Nguyen |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700338746 PECOS PAC ID: 4183983596 Enrollment ID: I20180110002109 |
Provider Name | Michael A Mcneil |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912423971 PECOS PAC ID: 2466727698 Enrollment ID: I20200403000162 |
Provider Name | Sean Aaron Tillery |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043818081 PECOS PAC ID: 8224448394 Enrollment ID: I20201030000178 |
Provider Name | Samuel Amsbaugh |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083353486 PECOS PAC ID: 9830566918 Enrollment ID: I20221102001157 |
Provider Name | Cameron Freund |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760938302 PECOS PAC ID: 5294021572 Enrollment ID: I20230330001822 |
Provider Name | Stephanie Accalia |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831764091 PECOS PAC ID: 4981068210 Enrollment ID: I20230919003764 |
Mailing Address | Practice Location Address |
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Big Island Physical Therpay Care Po Box 6783, Hilo, HI 96720 Ph: (808) 935-5255 | Big Island Physical Therpay Care 740 Kilauea Avenue, Hilo, HI 96720 Ph: (808) 935-5255 |