Elite Physical Therapy and Sports
NPI 1235180811ActiveOrganization· Physical Therapist· Makawao, HI
Physical Therapist in Makawao, Hawaii, registered in NPPES in May 2006. The authorized official on file is Mark Stack, PT, Owner-Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1235180811 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 16, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | W6201699001 | HI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (HI) |
|---|
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All 22 physical therapists in Makawao · All physical therapists in Hawaii