Provider Demographics
NPI:1508468588
Name:ON-SCREEN PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:ON-SCREEN PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SCHOSTOK
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, CSCS
Authorized Official - Phone:808-369-4857
Mailing Address - Street 1:1129 RYCROFT ST APT 401
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2845
Mailing Address - Country:US
Mailing Address - Phone:808-369-4857
Mailing Address - Fax:808-204-2606
Practice Address - Street 1:1129 RYCROFT ST APT 401
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2845
Practice Address - Country:US
Practice Address - Phone:808-369-4857
Practice Address - Fax:808-204-2606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-13
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy