Provider Demographics
NPI:1154863942
Name:ON POINT PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:ON POINT PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:JOELL
Authorized Official - Last Name:VANDER VEEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:808-344-8565
Mailing Address - Street 1:180 PEAHI RD
Mailing Address - Street 2:
Mailing Address - City:HAIKU
Mailing Address - State:HI
Mailing Address - Zip Code:96708-5444
Mailing Address - Country:US
Mailing Address - Phone:808-344-8565
Mailing Address - Fax:808-575-9109
Practice Address - Street 1:180 PEAHI RD
Practice Address - Street 2:
Practice Address - City:HAIKU
Practice Address - State:HI
Practice Address - Zip Code:96708-5444
Practice Address - Country:US
Practice Address - Phone:808-344-8565
Practice Address - Fax:808-575-9109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-09
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI3135261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy