Provider Demographics
NPI:1861721011
Name:MARSHALL H ORR JR MS MPT LLC
Entity type:Organization
Organization Name:MARSHALL H ORR JR MS MPT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARSHALL
Authorized Official - Middle Name:HUGH
Authorized Official - Last Name:ORR
Authorized Official - Suffix:JR
Authorized Official - Credentials:MS MPT DPT
Authorized Official - Phone:808-934-0481
Mailing Address - Street 1:688 KINOOLE ST @120
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720
Mailing Address - Country:US
Mailing Address - Phone:808-934-0481
Mailing Address - Fax:808-443-0604
Practice Address - Street 1:688 KINOOLE ST #120
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-0381
Practice Address - Country:US
Practice Address - Phone:808-934-0481
Practice Address - Fax:808-443-0604
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARSHALL H ORR JR MS MPT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-17
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT 2082261QP2000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI55558402Medicaid