Provider Demographics
NPI:1598859126
Name:HILL, PEGGY K (PT)
Entity Type:Individual
Prefix:
First Name:PEGGY
Middle Name:K
Last Name:HILL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:354 ULUNIU ST
Mailing Address - Street 2:STE 404
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2534
Mailing Address - Country:US
Mailing Address - Phone:808-262-1118
Mailing Address - Fax:808-262-0045
Practice Address - Street 1:354 ULUNIU STREET
Practice Address - Street 2:SUITE 404
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734
Practice Address - Country:US
Practice Address - Phone:808-262-1118
Practice Address - Fax:808-262-0045
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIPT1959225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIA0243046OtherKAI HMSA PPO/HMO/QST/65C
HI0243048OtherTRICARE HNL
HI0681318OtherUHA 99-0332020
HI506371OtherHMA
HI54014701Medicaid
HI99-0332020OtherHMAA
HI54014702Medicaid
HI0243048OtherHNL HMSA PPO/HMO/QST/65C
HI204196700OtherOWCP
HI54014700OtherALOHA CARE
HIA0243046OtherTRICARE KAI
HI0243048OtherTRICARE HNL