| Pakolea | |
|
215-c Railroad Ave, Bays 11-14, Hilo, HI 96720-2990 | |
| (808) 935-5255 | |
| (808) 961-9044 |
| Full Name | Pakolea |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Rehabilitation |
| Location | 215-c Railroad Ave, Hilo, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629309331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-3052 (Hawaii) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | PT-3052 (Hawaii) | Primary |
| Provider Name | Shauna Ka'iulani Russell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841419025 PECOS PAC ID: 5991849796 Enrollment ID: I20100607000211 |
| Provider Name | Sonny Santiago |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437601473 PECOS PAC ID: 3274816418 Enrollment ID: I20170213001865 |
| Provider Name | Linda Thuy Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700338746 PECOS PAC ID: 4183983596 Enrollment ID: I20180110002109 |
| Provider Name | Michael A Mcneil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912423971 PECOS PAC ID: 2466727698 Enrollment ID: I20200403000162 |
| Provider Name | Samuel Amsbaugh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083353486 PECOS PAC ID: 9830566918 Enrollment ID: I20221102001157 |
| Provider Name | Stephanie Susan Accalia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831764091 PECOS PAC ID: 4981068210 Enrollment ID: I20230919003764 |
| Mailing Address | Practice Location Address |
|---|---|
| Pakolea Po Box 6783, Hilo, HI 96720 Ph: (808) 935-5255 | Pakolea 215-c Railroad Ave, Bays 11-14, Hilo, HI 96720-2990 Ph: (808) 935-5255 |