Provider Demographics
NPI:1811047707
Name:HONOLULU CENTER FOR PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:HONOLULU CENTER FOR PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:SENINING
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:808-550-8476
Mailing Address - Street 1:201 OHUA AVE
Mailing Address - Street 2:TOWER 2 - SUITE 813
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-3653
Mailing Address - Country:US
Mailing Address - Phone:808-550-8476
Mailing Address - Fax:808-550-8476
Practice Address - Street 1:1130 N NIMITZ HWY
Practice Address - Street 2:SUITE C - 220
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-4579
Practice Address - Country:US
Practice Address - Phone:808-550-8476
Practice Address - Fax:808-550-8476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT-2004225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIC233605OtherBCBS