Physical Therapy and Wellness Center of Maui LLC
NPI 1578623211ActiveOrganization· Physical Therapist· Kahului, HI
Physical Therapist in Kahului, Hawaii, registered in NPPES in December 2006. The authorized official on file is Deborah A. Jacob, Member Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1578623211 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 11, 2006 |
| Last updated in NPPES | Dec 26, 2017 |
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 Part B Supplier - Physical/Occupational Therapy Group in Private Practice (HI) |
|---|
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