Provider Demographics
NPI:1093004848
Name:CAREY, BRETT ANDREW (DPT)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:ANDREW
Last Name:CAREY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78-6831 ALII DR
Mailing Address - Street 2:STE 420
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-5403
Mailing Address - Country:US
Mailing Address - Phone:808-498-4144
Mailing Address - Fax:808-498-4153
Practice Address - Street 1:75-5597 PALANI RD STE A1
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-1661
Practice Address - Country:US
Practice Address - Phone:808-987-6795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-01
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT-3268225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI1093004848OtherNOT SURE MEDICARE PIN PERHAPS