Provider Demographics
NPI:1801943931
Name:MAUI PHYSICAL THERAPY INC.
Entity type:Organization
Organization Name:MAUI PHYSICAL THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:ROHOZINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:808-244-5988
Mailing Address - Street 1:84 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1725
Mailing Address - Country:US
Mailing Address - Phone:808-244-5988
Mailing Address - Fax:808-244-5989
Practice Address - Street 1:84 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1725
Practice Address - Country:US
Practice Address - Phone:808-244-5988
Practice Address - Fax:808-244-5989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT-1123225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0104-0OtherHMSA
HI0104-0OtherHMSA