South Shore Physical Therapy & Sportsmedicine, Inc
NPI 1396601647ActiveOrganization· Physical Therapist· Kahului, HI
Physical Therapist in Kahului, Hawaii, registered in NPPES in December 2025. The authorized official on file is Tiffany Grace Prangnell, President. Enrolled in Medicare as dme supplier - independently-practicing physical therapist.
Overview
| NPI | 1396601647 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 30, 2025 |
| Last updated in NPPES | Dec 30, 2025 |
| Certified by provider | Dec 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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 DME Supplier - Independently-Practicing Physical Therapist (HI) |
|---|
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