Provider Demographics
NPI:1114244308
Name:HOKU PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:HOKU PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:OKAMURA
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:808-377-0442
Mailing Address - Street 1:758 MOANIALA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96821-2546
Mailing Address - Country:US
Mailing Address - Phone:808-377-0442
Mailing Address - Fax:808-591-0004
Practice Address - Street 1:758 MOANIALA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96821-2546
Practice Address - Country:US
Practice Address - Phone:808-377-0442
Practice Address - Fax:808-591-0004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-27
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT-1122261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIDG191AMedicare PIN