| Ellen Nguyen, DPT | |
|
725 Kapiolani Blvd Ste C103, Honolulu, HI 96813-6027 | |
| (808) 674-1142 | |
| (808) 674-1143 |
| Full Name | Ellen Nguyen |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 725 Kapiolani Blvd Ste C103, Honolulu, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861277006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-5771 (Hawaii) | Primary |
| Provider Name | Core Sports Analysis Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043600232 PECOS PAC ID: 1850602418 Enrollment ID: O20150623002329 |
| Provider Name | Core Sports Honolulu, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538792742 PECOS PAC ID: 7517397367 Enrollment ID: O20200420001570 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Nguyen, DPT 599 Farrington Hwy Ste 102, Kapolei, HI 96707-2028 Ph: (808) 674-1142 | Ellen Nguyen, DPT 725 Kapiolani Blvd Ste C103, Honolulu, HI 96813-6027 Ph: (808) 674-1142 |
Michael M Ebesu, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3288 Moanalua Rd, Honolulu, HI 96819 Phone: 808-778-6728 | |
Taryn Jennings, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2828 Paa St, Honolulu, HI 96819 Phone: 833-833-3333 | |
Abe Shimoda, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7192 Kalanianaole Hwy, Honolulu, HI 96825 Phone: 808-396-7303 Fax: 808-395-7160 | |
Mr. Graham C Hadley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2812b Kalihi St, Honolulu, HI 96819 Phone: 808-848-5556 Fax: 808-848-5557 | |
Randall Fukuji, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1834 Nuuanu Ave Ste 101, Honolulu, HI 96817 Phone: 808-521-4922 Fax: 808-521-4921 | |
Yunsim C. Suehisa, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7114 Niumalu Loop, Honolulu, HI 96825 Phone: 808-277-4073 Fax: 808-396-5581 | |
Jonathan Kaminaka, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Punchbowl St, Honolulu, HI 96813 Phone: 808-691-1000 |