| Kenneth Mercado, PT, DPT | |
|
81 Makawao Ave Ste 110, Makawao, HI 96768-8859 | |
| (808) 572-2281 | |
| Not Available |
| Full Name | Kenneth Mercado |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 81 Makawao Ave Ste 110, Makawao, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811713431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-6055 (Hawaii) | Primary |
| Provider Name | Physical Therapy At Pukalani, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1073198115 PECOS PAC ID: 5890104301 Enrollment ID: O20210513002300 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Mercado, PT, DPT 1836 Kaohu St, Wailuku, HI 96793-2310 Ph: (732) 500-8714 | Kenneth Mercado, PT, DPT 81 Makawao Ave Ste 110, Makawao, HI 96768-8859 Ph: (808) 572-2281 |
Mr. Jonathan Mead Raymond, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 40 Kupaoa St # B-201, Makawao, HI 96768 Phone: 808-872-0077 Fax: 808-872-0177 | |
Suzanne Michelle Nagy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 87 Hoolai Drive, Makawao, Makawao, HI 96768 Phone: 808-281-4556 | |
Jordan Butay, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 81 Makawao Ave Ste 110, Makawao, HI 96768 Phone: 808-572-2281 Fax: 808-573-5869 | |
Optimal Physical Therapy,llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 87 Hoolai St, Makawao, HI 96768 Phone: 808-281-4556 Fax: 808-572-0113 | |
Physical Therapy At Pukalani, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 81 Makawao Ave Ste 110, Makawao, HI 96768 Phone: 808-572-2281 Fax: 808-573-5869 | |
Dr. Abel Corona, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 81 Makawao Ave Ste 110, Makawao, HI 96768 Phone: 808-572-2281 Fax: 808-573-5869 | |
Sheryl L Carter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 81 Makawao Ave, Suite 110, Makawao, HI 96768 Phone: 808-572-2281 |