Provider Demographics
NPI:1952558785
Name:SCELSI, ANDREA (MPT)
Entity type:Individual
Prefix:MISS
First Name:ANDREA
Middle Name:
Last Name:SCELSI
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3081 PATY DR APT E
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-1448
Mailing Address - Country:US
Mailing Address - Phone:808-772-1788
Mailing Address - Fax:
Practice Address - Street 1:1314 KALAKAUA AVE FL 2
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1900
Practice Address - Country:US
Practice Address - Phone:808-983-4444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-22
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070015123225100000X
HI36112251C2600X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251C2600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistCardiopulmonary