1033835210 NPI number — STRENGTH BUILDER PHYSICAL THERAPY LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033835210 NPI number — STRENGTH BUILDER PHYSICAL THERAPY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STRENGTH BUILDER PHYSICAL THERAPY LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033835210
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/18/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1520 LILIHA ST STE 301
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96817-3563
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-521-3617
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1520 LILIHA ST STE 301
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-3563
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-521-3617
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/18/2022

Additional Information

Authorized Official

Authorized Official Last Name:
OLIVA
Authorized Official First Name:
EMMELYN
Authorized Official Middle Name:
SABIO
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
808-561-7357

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1346711975 . This is a "UNITED HEALTHCARE QEXA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1346711975 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1346711975 . This is a "ALOHACARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1346711975 . This is a "AARP" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 1346711975 . This is a "UNITED HEALTHCARE MEDICARE MDX" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1346711975 . This is a "HMSA QUEST" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 1346711975 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1346711975 . This is a "TRICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1346711975 . This is a "BLUE CROSS BLUESHIELD" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 1346711975 . This is a "HMAA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1346711975 . This is a "HAWAII LABORER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1346711975 . This is a "ALOHACARE QUEST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1346711975 . This is a "HMSA HMO" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 1346711975 . This is a "UHA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1346711975 . This is a "HMSA PPO" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 1346711975 . This is a "UNITED HEALTHCARE QUEST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1346711975 . This is a "HMSA AKAMAI ADVANTAGE" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 1346711975 . This is a "HUMANA MDX" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1346711975 . This is a "MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1346711975 . This is a "PSWA" identifier . This identifiers is of the category "OTHER".




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