| Tara Ito, | |
|
599 Farrington Hwy Ste 102, Kapolei, HI 96707-2028 | |
| (808) 674-1142 | |
| Not Available |
| Full Name | Tara Ito |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 599 Farrington Hwy Ste 102, Kapolei, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598425498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-5320-0 (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 |
|---|---|
| Tara Ito, 599 Farrington Hwy Ste 102, Kapolei, HI 96707-2028 Ph: () - | Tara Ito, 599 Farrington Hwy Ste 102, Kapolei, HI 96707-2028 Ph: (808) 674-1142 |
Jaco Rehab Kapolei, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 599 Farrington Hwy Ste 206, Kapolei, HI 96707 Phone: 808-381-8947 Fax: 808-591-2245 | |
Donovan Steven Turchin, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1001 Kamokila Blvd Ste 114, Kapolei, HI 96707 Phone: 808-674-0500 | |
Justin N R Magsanoc, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1001 Kamokila Blvd Ste 114, Kapolei, HI 96707 Phone: 808-674-0500 Fax: 808-674-0511 | |
Marc S Larson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1001 Kamokila Blvd, #114, Kapolei, HI 96707 Phone: 808-674-0500 Fax: 808-674-0511 | |
Dr. Dana Lynn Fong-reyes, DPT, CSCS, TPI CGFI Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 599 Farrington Hwy, Suite 102, Kapolei, HI 96707 Phone: 808-674-1142 Fax: 808-674-1143 | |
Amy A Aronson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1001 Kamokila Blvd Ste 114, Kapolei, HI 96707 Phone: 808-674-0500 | |
Amanda J Huckstep, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1001 Kamokila Blvd, Suite 111 Jcb, Kapolei, HI 96707 Phone: 808-674-9595 Fax: 808-674-9696 |