| Impact Sports Inc | |
|
4381 Kukui Grove St, Suite 3, Lihue, HI 96766 | |
| (808) 246-0144 | |
| (808) 245-5148 |
| Full Name | Impact Sports Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4381 Kukui Grove St, Lihue, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245244912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Steve T Nakamura |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124033543 PECOS PAC ID: 5496776346 Enrollment ID: I20051208000916 |
| Provider Name | Kyle Corrado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659771459 PECOS PAC ID: 5395055347 Enrollment ID: I20160211000671 |
| Provider Name | Christine Fischer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063813921 PECOS PAC ID: 9830409697 Enrollment ID: I20210423000965 |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Sports Inc 4381 Kukui Grove St, Suite 3, Lihue, HI 96766 Ph: (808) 246-0144 | Impact Sports Inc 4381 Kukui Grove St, Suite 3, Lihue, HI 96766 Ph: (808) 246-0144 |
Erin E Rose, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4381 Kukui Grove St Ste 3, Lihue, HI 96766 Phone: 808-246-0144 | |
Steve T Nakamura, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4381 Kukui Grove St, Ste 3, Lihue, HI 96766 Phone: 808-246-0144 Fax: 808-245-5148 | |
Mr. Jason Luke, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 3088 Aukele St, Lihue, HI 96766 Phone: 808-632-0033 Fax: 808-632-0077 | |
Angela Cates, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3175 Elua St Ste A, Lihue, HI 96766 Phone: 808-378-4748 Fax: 520-296-0075 | |
Kathi Layne, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3115 Akahi St, Lihue, HI 96766 Phone: 808-245-7141 | |
Gussie Merritt, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3-1866 Kaumualii Hwy, Lihue, HI 96766 Phone: 808-823-9300 |