Provider Demographics
NPI:1033835210
Name:STRENGTH BUILDER PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:STRENGTH BUILDER PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EMMELYN
Authorized Official - Middle Name:SABIO
Authorized Official - Last Name:OLIVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-561-7357
Mailing Address - Street 1:1520 LILIHA ST STE 301
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-3563
Mailing Address - Country:US
Mailing Address - Phone:808-521-3617
Mailing Address - Fax:
Practice Address - Street 1:1520 LILIHA ST STE 301
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-3563
Practice Address - Country:US
Practice Address - Phone:808-521-3617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1346711975OtherUNITED HEALTHCARE QEXA
1346711975OtherUNITED HEALTHCARE
1346711975OtherALOHACARE
HI1346711975OtherAARP
1346711975OtherUNITED HEALTHCARE MEDICARE MDX
HI1346711975OtherHMSA QUEST
HI1346711975Medicaid
1346711975OtherTRICARE
HI1346711975OtherBLUE CROSS BLUESHIELD
1346711975OtherHMAA
1346711975OtherHAWAII LABORER
1346711975OtherALOHACARE QUEST
HI1346711975OtherHMSA HMO
1346711975OtherUHA
HI1346711975OtherHMSA PPO
1346711975OtherUNITED HEALTHCARE QUEST
HI1346711975OtherHMSA AKAMAI ADVANTAGE
1346711975OtherHUMANA MDX
1346711975OtherMEDICARE
1346711975OtherPSWA
1346711975OtherUNITED HEALTHCARE MEDICARE
1346711975OtherAETNA