Mr Todd K A Clark, MSPT | |
1090 Keolu Dr, Suite 104, Kailua, HI 96734-3871 | |
(808) 262-2292 | |
(808) 262-2293 |
Full Name | Mr Todd K A Clark |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 24 Years |
Location | 1090 Keolu Dr, Kailua, Hawaii |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790850758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1978 (Hawaii) | Secondary |
225100000X | Physical Therapist | PT1978 (Hawaii) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Team Physical Therapy, Llc | 7416119698 | 5 |
Provider Name | Team Physical Therapy, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1942598883 PECOS PAC ID: 7416119698 Enrollment ID: O20120504000244 |
Mailing Address | Practice Location Address |
---|---|
Mr Todd K A Clark, MSPT Po Box 1440, Kailua, HI 96734-1440 Ph: (808) 262-2292 | Mr Todd K A Clark, MSPT 1090 Keolu Dr, Suite 104, Kailua, HI 96734-3871 Ph: (808) 262-2292 |
Michael W Rufino, RPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 30 Aulike St, Kailua Professional Center, Suite 201, Kailua, HI 96734 Phone: 808-230-2359 Fax: 808-230-2375 | |
Dr. Jill Dietmeyer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 602 Kailua Rd, #202, Kailua, HI 96734 Phone: 808-263-0343 | |
Mrs. Christina M Gallagher, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 122 Oneawa St, Kailua, HI 96734 Phone: 808-263-4263 | |
Mrs. Julie A Hess, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 970 N Kalaheo Ave Ste C316, Kailua, HI 96734 Phone: 808-488-5555 | |
Jason Edward Lau, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 407 Uluniu St Ste 301, Kailua, HI 96734 Phone: 808-261-4321 | |
Andrea M. Taylor, MS,PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 354 Kaelepulu Dr Apt D, Kailua, HI 96734 Phone: 808-277-6167 Fax: 808-261-6440 | |
Three Paths Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 Kailua Rd, 107, Kailua, HI 96734 Phone: 808-779-8475 Fax: 808-394-8702 |