MRS. STEPHANIE S DOMINGO (NPI# 1902132533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902132533 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE S DOMINGO |
| Credential | P.T. |
| Practice Address |
155 Hamakua Dr Ste B Kailua HI 96734-2849 |
| Practice Telephone | 8082618931 |
| Mailing Telephone | 8082618931 |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 808 | HI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | PHYSICAL THERAPIST | 808 | 01 |
| Street Address |
155 HAMAKUA DR STE B |
| City | KAILUA |
| State | HI |
| Zip Code | 96734-2849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578634085 | Janet Sue Barretta | Physical Therapist | 155 Hamakua Dr Ste B, Kailua, HI 96734-2849 | 2006-11-13 |
| 1770014680 | Carolyn Miyagi | Massage Therapist | 155 Hamakua Dr Ste B, Kailua, HI 96734-2849 | 2017-03-22 |
| 1821460932 | Barbra A Manni | Specialist | 155 Hamakua Dr Ste B, Kailua, HI 96734-2849 | 2015-10-28 |
| 1245641919 | Michelle Tong | Massage Therapist | 155 Hamakua Dr Ste B, Kailua, HI 96734-2849 | 2014-05-15 |
| 1225463607 | Lynda A Borges | Specialist | 155 Hamakua Dr Ste B, Kailua, HI 96734-2849 | 2013-09-04 |
| 1780940643 | Holly Maria Viveiros | Specialist | 155 Hamakua Dr Ste B, Kailua, HI 96734-2849 | 2012-04-04 |
| 1730415365 | Maryann Gianantoni | Specialist | 155 Hamakua Dr Ste B, Kailua, HI 96734-2849 | 2009-11-02 |
| 1992031330 | Kailua Physical Therapy Clinic, Inc | Physical Therapist | 155 Hamakua Dr Ste B, Kailua, HI 96734-2849 | 2009-10-20 |
| 1568649622 | Gaye Lynn Nakaji | Physical Therapist | 155 Hamakua Dr Ste B, Kailua, HI 96734-2849 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1134726979 | Sara Eller | Radiology | Building 6905 Mcbh, Pearl Harbor, HI 96734 | 2020-10-05 |
| 1205441888 | William Andrew Fitzpatrick | Military Health Care Provider | Bldg 6905, Mcbh, HI 96734 | 2020-09-10 |
| 1215549670 | Joseph Frabotta | Military Health Care Provider | 6894r Mokapu Rd, Kailua, HI 96734 | 2020-08-18 |
| 1437776366 | Amanda Lindsay Krasniewski | Behavior Technician | 203 Kapaa Quarry Place, Suite #5002, Kailua, HI 96734 | 2020-06-26 |
| 1760007108 | Yoli Gabrielle Teran | Behavior Technician | 203 Kapaa Quarry Pi #5002, Kailua, HI 96734 | 2020-06-11 |
| 1902427206 | Amberlie Remily | Behavior Technician | 203 Kapaa Quarry Pl. #5002, Kailua, HI 96734 | 2020-04-28 |
| 1417586264 | Jennifer Eng | Marriage & Family Therapist | 6842 Harris Ave, Kailua, HI 96734 | 2020-04-03 |
| 1023644523 | Roxan Mae Sardido Okamoto | Specialist | 1178 Lunahana Place, Kailua, HI 96734 | 2020-03-16 |
| 1811520240 | Sherly Macion | Registered Nurse | 720 A1 Kihapai Place, Kailua, HI 96734 | 2020-02-13 |
| Find all providers in zip 96734 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023644523 | Roxan Mae Sardido Okamoto | Specialist | 1178 Lunahana Place, Kailua, HI 96734 | 2020-03-16 |
| 1548419005 | Robert V Jao Md Inc A Hawaii Corporation | Specialist | 642 Ulukahiki St Ste 100, Kailua, HI 96734-4418 | 2008-09-09 |
| 1003004896 | Kailua Physical Therapy Clinic, Inc | Specialist | 155 Hamakua Dr, Suite B, Kailua, HI 96734-2849 | 2007-10-05 |
| 1134330277 | Robert Wylie Nemechek | Specialist | 920 Maunawili Cir, Kailua, HI 96734-4619 | 2007-05-24 |
| 1760522882 | Renda Isbell | Specialist | 600 Kailua Rd, Ste.204, Kailua, HI 96734-2865 | 2007-02-07 |
| 1245308188 | Lois K Ifft | Specialist | 1051 Keolu Dr, 104b, Kailua, HI 96734-3847 | 2006-11-30 |
| 1285707547 | Robert Vit Jao | Specialist | 642 Ulikahiki Street, Suite 100, Kailua, HI 96734 | 2006-11-16 |
| 1023197027 | Francis T Lim | Specialist | 1585 Ulupii St, Kailua, HI 96734-4444 | 2006-11-02 |
| 1326134958 | Lloyd Edward Jones | Specialist | 747 Ululani St, Kailua, HI 96734-4433 | 2006-10-04 |
| 1831683309 | Koolau Ear Nose and Throat, LLC | Specialist | 642 Ulukahiki St Ste 103, Kailua, HI 96734-4418 | 2018-06-19 |
| Find all providers in KAILUA | ||||
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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.