CLARK ORTHOPEDIC REHABILITATION AND EDUCATION (NPI# 1861902736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861902736 |
| Entity Type | Organization |
| Organization Name | CLARK ORTHOPEDIC REHABILITATION AND EDUCATION |
| Other Organization Name | CORE 808 |
| Practice Address |
1274 Honokahua St Honolulu HI 96825-3019 |
| Mailing Address |
Po Box 240401 Honolulu HI 96824-0401 |
| Practice Telephone | 8082865005 |
| Practice Fax Number | 8082865005 |
| Mailing Telephone | 8082865005 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |
| Authorized Official Name | WILLIAM CLARK (OWNER) |
| Authorized Official Telephone | 8082865005 |
| Authorized Official Credential | ATC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT-294 | HI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| CORE 808 | Doing Business As Name - Organization |
| Street Address |
1274 HONOKAHUA ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96825-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544616 | Greg Keast | Social Worker | 739 Kealahou Street, Honolulu, HI 96825 | 2020-06-30 |
| 1235606070 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 600 Kalanianaole Hwy, Suite 114a, Honolulu, HI 96825 | 2018-10-30 |
| 1376019927 | Victoria Liou-johnson | Clinical Neuropsychologist | 7192 Kalanianaole Hwy Ste A143a #264, Honolulu, HI 96825 | 2018-10-22 |
| 1518450527 | Wendy Lin Farah | Social Worker | 7192 Kalanianaole Highway, Suite A143a #276, Honolulu, HI 96825 | 2018-06-13 |
| 1699175125 | Kathy Akiyo Maemori | Speech-Language Pathologist | 418 Opihkao Pl, Honolulu, HI 96825 | 2014-09-03 |
| 1386994697 | Brian Alexander O'hara | Pediatrics | 6750 Hawaii Kai Drive #1208, Honolulu, HI 96825 | 2012-09-13 |
| 1356617112 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7192 Kalanianaole Hwy Ste C119, Honolulu, HI 96825 | 2012-03-27 |
| 1104065085 | Keith A. Vodzak | Dentist | 377 Keahole St., Suite #211, Honolulu, HI 96825 | 2009-02-17 |
| 1528219144 | Yoko Kokuni | Counselor | 340 Kawaihae St. #340f, Honolulu, HI 96825 | 2008-10-01 |
| 1982876371 | Alayne Yates | Psychiatry & Neurology | 242 Opihikao Way, Honolulu, HI 96825 | 2008-03-26 |
| Find all providers in zip 96825 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949143 | Makanalani Valery Chun | Specialist/Technologist | 1171 Kaumailuna Pl, Honolulu, HI 96817-1517 | 2020-10-13 |
| 1508481110 | Leah Renee Komisak | Specialist/Technologist | 818 Laula Way Apt 4, Honolulu, HI 96814-2250 | 2020-06-09 |
| 1033738265 | Jamie Sardinha | Specialist/Technologist | 1317 Ala Aolani St, Honolulu, HI 96819-1466 | 2020-04-08 |
| 1619509007 | Caylie Shiramizu | Specialist/Technologist | 255 Mananai Pl Apt T, Honolulu, HI 96818-5328 | 2020-02-04 |
| 1902398977 | Cassidy Smith | Specialist/Technologist | 2958 Kalei Rd, Honolulu, HI 96826-1801 | 2018-06-05 |
| 1710477351 | Galahad Glenn Kauinohea Carreira Jr. | Specialist/Technologist | 1120 Nehoa St, Honolulu, HI 96822-2566 | 2018-05-17 |
| 1548763972 | Rebecca Duran | Specialist/Technologist | 3140 Waialae Ave, Honolulu, HI 96816-1510 | 2018-03-12 |
| 1992218093 | Larissa Marie Hughes | Specialist/Technologist | 3016 Date St Apt 5, Honolulu, HI 96816-1125 | 2017-11-10 |
| 1063938041 | James Arnel Cruz Espinoza | Specialist/Technologist | 1166 Fort St Ste 102, Honolulu, HI 96813-2785 | 2017-08-21 |
| 1497276687 | Jared Nihi | Specialist/Technologist | 2654 Namauu Dr, Honolulu, HI 96817-1332 | 2017-06-28 |
| Find all providers in HONOLULU | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.