Provider Demographics
NPI:1265510374
Name:RANGE OF MOTION INC
Entity Type:Organization
Organization Name:RANGE OF MOTION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARROYO
Authorized Official - Suffix:JR
Authorized Official - Credentials:OTR
Authorized Official - Phone:808-487-5788
Mailing Address - Street 1:PO BOX 1300
Mailing Address - Street 2:MAIL CODE 60227
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96807-1300
Mailing Address - Country:US
Mailing Address - Phone:808-487-5766
Mailing Address - Fax:808-487-5768
Practice Address - Street 1:98-200 KAMEHAMEHA HWY
Practice Address - Street 2:SUITE 407
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4329
Practice Address - Country:US
Practice Address - Phone:808-487-5766
Practice Address - Fax:808-487-5768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI502618Medicaid
HI502618Medicaid