| Kalihi Rehab Center, Llc | |
| 1427 N King St, Honolulu, HI 96817-4226 | |
| (808) 847-7440 | |
| (808) 847-7409 | 
| Full Name | Kalihi Rehab Center, Llc | 
|---|---|
| Type | Facility | 
| Speciality | Physical Therapist | 
| Location | 1427 N King St, Honolulu, Hawaii | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316018443 | NPI | - | NPPES | 
| H101437 | Medicaid | HI | |
| MAE-2024 | Other | HI | MASSAGE ESTABLISHMENT | 
| P.T. LICENSE# 485 | Other | HI | NORA TAN | 
| P.T. LINCENSE# 976 | Other | HI | NORMA DOMINGO-DEXTER | 
| 0000250944 | Other | HI | TRICARE NORA TAN | 
| P.T. LICENSE# 933 | Other | HI | LIN FAR LEE | 
| 520008 | Other | HI | HMA NORA TAN | 
| 6852610 | Other | HI | UHA NORA TAN | 
| 56434501 | Medicaid | HI | |
| 0000250944 | Other | ID | HMSA NORA TAN | 
| 4933610 | Other | HI | UHA LIN FAR LEE | 
| MAT# 7487 | Other | HI | SHERYL MAEDA MASSAGE | 
| 0000259564 | Other | HI | HMSA LIN FAR LEE | 
| MAT -6653 | Other | HI | MARIA THEA VISAYA | 
| MAT-8529 | Other | HI | MATILDE ABIDA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 485,933,976 (Hawaii) | Primary | 
| Provider Name | Nora G Tan | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1245356203 PECOS PAC ID: 5991757759 Enrollment ID: I20050223000184 | 
| Provider Name | Lin Far Lee | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1164548111 PECOS PAC ID: 9234148727 Enrollment ID: I20060411000560 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kalihi Rehab Center, Llc 1427 N King St, Honolulu, HI 96817-4226 Ph: (808) 847-7440 | Kalihi Rehab Center, Llc 1427 N King St, Honolulu, HI 96817-4226 Ph: (808) 847-7440 | 
| Michael M Ebesu, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3288 Moanalua Rd, Honolulu, HI 96819 Phone: 808-778-6728 | |
| Taryn Jennings, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2828 Paa St, Honolulu, HI 96819 Phone: 833-833-3333 | |
| Abe Shimoda, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7192 Kalanianaole Hwy, Honolulu, HI 96825 Phone: 808-396-7303 Fax: 808-395-7160 | |
| Mr. Graham C Hadley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2812b Kalihi St, Honolulu, HI 96819 Phone: 808-848-5556 Fax: 808-848-5557 | |
| Randall Fukuji, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1834 Nuuanu Ave Ste 101, Honolulu, HI 96817 Phone: 808-521-4922 Fax: 808-521-4921 | |
| Yunsim C. Suehisa, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7114 Niumalu Loop, Honolulu, HI 96825 Phone: 808-277-4073 Fax: 808-396-5581 | |
| Jonathan Kaminaka,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Punchbowl St, Honolulu, HI 96813 Phone: 808-691-1000 |