KALO PHYSICAL THERAPY MULTISPECIALITY GROUP LLC (NPI# 1932648284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932648284 |
| Entity Type | Organization |
| Organization Name | KALO PHYSICAL THERAPY MULTISPECIALITY GROUP LLC |
| Other Organization Name | KPTMG |
| Practice Address |
75-5597 Palani Rd Ste A1 Kailua Kona HI 96740-1661 |
| Mailing Address |
Po Box 5235 Apt J3 Kailua Kona HI 96745-5235 |
| Practice Telephone | 8089876795 |
| Mailing Telephone | 8089876795 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2020-07-06 |
| Authorized Official Name | DR. BRETT CAREY (CEO) |
| Authorized Official Telephone | 8089876795 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
PT-3268 | HI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT-3268 | HI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
PT-3268 | HI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | DCCA STATE LICENSING AGENCY IN HAWAII | PT-3268 | 01 |
| Other Name | Type Code |
|---|---|
| KPTMG | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 75-5660 Kopiko St, Kailua Kona, HI 967403611 | 8089876795 |
| Street Address |
75-5597 PALANI RD STE A1 |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-1661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093004848 | Brett Andrew Carey | Physical Therapist | 75-5597 Palani Rd Ste A1, Kailua Kona, HI 96740-1661 | 2011-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
| 1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
| 1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
| 1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
| 1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
| 1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
| 1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
| 1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
| 1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
| 1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
| Find all providers in zip 96740 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588929228 | Amanda Louise Strauwald | Physical Therapist | 5281 Ihilani Pl, Kapaa, HI 96746-2528 | 2012-07-09 |
| 1912113952 | Melanie R Seeley | Physical Therapist | 490 Kaupakalua Rd, Haiku, HI 96708-5915 | 2007-05-15 |
| 1972719979 | Tereza Jurasek | Physical Therapist | 472 Kaulana St, Kahului, HI 96732-2050 | 2007-05-15 |
| 1265648208 | Hallie G Romero | Physical Therapist | 472 Kaulana St, Kahului, HI 96732-2050 | 2007-05-15 |
| 1124234133 | Sheryl L Carter | Physical Therapist | 81 Makawao Ave, Suite 110, Makawao, HI 96768-8895 | 2007-05-15 |
| City | KAILUA KONA |
| Zip Code | 96740 |
Please comment or provide details below to improve the information on KALO PHYSICAL THERAPY MULTISPECIALITY GROUP LLC.
| 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.