Countryside Physical Therapy, Inc. is a
Physical Therapist based in Waialua, Hawaii. Countryside Physical Therapy, Inc. is licensed to practice in Hawaii (license number PT-2333) and their current practice location is
67-292 Goodale Ave #a4, Waialua, Hawaii. It can be reached at their office (for appointments etc.) via phone at
(808) 637-4010.
NPI number for Countryside Physical Therapy, Inc. is 1124187786 and their current mailing address is 67-188 Kuhi St, Waialua, Hawaii. Countryside Physical Therapy, Inc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1124187786.
Healthcare Provider's Profile
| Full Name | Countryside Physical Therapy, Inc. |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 67-292 Goodale Ave #a4, Waialua, Hawaii |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124187786
- Provider Enumeration Date: 12/08/2006
- Last Update Date: 01/22/2009
Medical Identifiers
Medical identifiers for Countryside Physical Therapy, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124187786 | NPI | - | NPPES |
| 258921 | Other | HI | HMSA |
| 2058706 | Other | HI | UNIVERSITY HEALTH ALLIANC |
| 540856 | Other | HI | HMA, INC. HAWAII |
| 578461 | Medicaid | HI | |
| 57847900 | Other | HI | ALOHACARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT-2333 (Hawaii) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Countryside Physical Therapy, Inc. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Countryside Physical Therapy, Inc.
67-188 Kuhi St,
Waialua, HI 96791-9634
Ph: () - | Countryside Physical Therapy, Inc.
67-292 Goodale Ave #a4,
Waialua, HI 96791
Ph: (808) 637-4010 |
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