1033835210 NPI number — STRENGTH BUILDER PHYSICAL THERAPY LLC

Table of content: (NPI 1033835210)

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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