Mary V Mantooth (NPI# 1780603787, PAC ID# 2062468374) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1780603787 |
| PAC ID by PECOS | 2062468374 |
| Professional Enrollment ID | I20141028001610 |
| Full Name | Mary V Mantooth |
| Organization Legal Name | CLUB REHAB, INC. |
| Address |
75 5699 Kopiko St Kailua Kona HI 96740-1668 |
| Phone Number | 8083297744 |
| Gender | F |
| Graduation Year | 1982 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 0749193977 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 75 5699 Kopiko St, Kailua Kona, HI 96740-1668 | 8083297744 | CLUB REHAB, INC. |
| Organization Legal Name | CLUB REHAB, INC. |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Rick | Physical Therapy | Club Rehab, Inc. | 75 -5699 Kopiko St, Kailua Kona, HI 96740-3651 |
| Theron Ogata | Physical Therapy | Club Rehab, Inc. | 75 5699 Kopiko St, Kailua Kona, HI 96740-3651 |
| Gordon T Dong | Physical Therapy | Club Rehab, Inc. | 75 -5699 Kopiko St, Kailua Kona, HI 96740-3651 |
| Jane Tama | Physical Therapy | Club Rehab, Inc. | 75 -5699 Kopiko St, Kailua Kona, HI 96740-3651 |
| Ryan A Guy | Physical Therapy | Club Rehab, Inc. | 75 -5699 Kopiko St, Kailua Kona, HI 96740-3651 |
| William Adkins | Physical Therapy | Club Rehab, Inc. | 75 -5699 Kopiko St, Kailua Kona, HI 96740-3651 |
| Christopher Carlson | Physical Therapy | Club Rehab, Inc. | 75 -5699 Kopiko St, Kailua Kona, HI 96740-3651 |
| Chad T Fujiyoshi | Physical Therapy | Club Rehab, Inc. | 75 -5699 Kopiko St, Kailua Kona, HI 96740-3651 |
| Dana Craig | Physical Therapy | Club Rehab, Inc. | 75 -5699 Kopiko St, Kailua Kona, HI 96740-3651 |
| Katie J Vitousek | Physical Therapy | Club Rehab, Inc. | 75 -5699 Kopiko St, Kailua Kona, HI 96740-3651 |
| Street Address |
75 5699 KOPIKO ST |
| City | KAILUA KONA |
| State | HI |
| Zip | 96740-1668 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theron Ogata | Physical Therapy | Club Rehab, Inc. | 75 5699 Kopiko St, Kailua Kona, HI 96740-3651 |
| Tina Selmar-etting | Physical Therapy | Club Rehab, Inc. | 75 5699 Kopiko St, Kailua Kona, HI 96740-1668 |
| Donna Park Choy | Physical Therapy | Club Rehab, Inc. | 75 5699 Kopiko St, Kailua Kona, HI 96740-1668 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marie Irene Thomas | Physician Assistant | Hosanna LLC | 75 -5870 Walua Rd, Suite 200, Kailua Kona, HI 96740-1392 |
| Elizabeth A Catanzaro | Family Medicine | Hosanna LLC | 75 -5870 Walua Rd, Suite 200, Kailua Kona, HI 96740-1392 |
| John Littleton | Physician Assistant | Hosanna LLC | 75 -5870 Walua Rd, Suite 200, Kailua Kona, HI 96740-1392 |
| Nathan C King | Internal Medicine | Hosanna LLC | 75 -5870 Walua Rd, Suite 200, Kailua Kona, HI 96740-1392 |
| David Alan Arthurs | Family Medicine | Hosanna LLC | 75 -5870 Walua Rd, Suite 200, Kailua Kona, HI 96740-1392 |
| Jelena Skopinceva | Registered Dietitian Or Nutrition Professional | 75 -5870 Walua Rd, Suite 100, Kailua Kona, HI 96740-1392 | |
| Inna Litvin | Optometry | 75 -1015 Henry St, Suite 700, Kailua Kona, HI 96740-1621 | |
| Brett Carey | Physical Therapy | 75 -5597 Palani Rd, Suite A 1, Kailua Kona, HI 96740-1661 | |
| Amy Hoogs | Physical Therapy | Crossroads Rehab LLC | 75 -1029 Henry St, Suite 101, Kailua Kona, HI 96740-1666 |
| Carlen Koons | Physical Therapy | Crossroads Rehab LLC | 75 -1029 Henry St, Suite 101, Kailua Kona, HI 96740-1666 |
| Find all physicians in zip 96740 | |||
| City | KAILUA KONA |
| Zip Code | 96740 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | KAILUA KONA + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.