| Professional Rehab Therapy, Llc | |
|
94-229 Waipahu Depot St Ste 301, Waipahu, HI 96797-3033 | |
| (808) 671-7414 | |
| (808) 671-7133 |
| Full Name | Professional Rehab Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 94-229 Waipahu Depot St Ste 301, Waipahu, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669612941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Hawaii) | Primary |
| 225700000X | Massage Therapist | MAT 8855 (Hawaii) | Secondary |
| Provider Name | Delbert V Peralta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679653638 PECOS PAC ID: 3274565882 Enrollment ID: I20050902000760 |
| Provider Name | Jean Balason |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114242203 PECOS PAC ID: 5991821498 Enrollment ID: I20100921001311 |
| Provider Name | Nathan J Lowry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871644377 PECOS PAC ID: 1951538164 Enrollment ID: I20141205000921 |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Rehab Therapy, Llc 94-229 Waipahu Depot St Ste 301, Waipahu, HI 96797-3033 Ph: (808) 671-7414 | Professional Rehab Therapy, Llc 94-229 Waipahu Depot St Ste 301, Waipahu, HI 96797-3033 Ph: (808) 671-7414 |
Michelle Ann De Salamanca, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 94-229 Waipahu Depot St Ste 304, Waipahu, HI 96797 Phone: 808-391-7678 | |
Kris Dianne Guerrero-dar, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 94-216 Farrington Hwy Ste A-102, Waipahu, HI 96797 Phone: 808-600-9148 Fax: 800-942-7053 | |
Mrs. Marja Liisa Lietzan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 94-801 Farrington Hwy, Waipahu Professional Center, Waipahu, HI 96797 Phone: 808-680-9123 Fax: 808-680-9889 | |
Maureen Iris Galvez Dizon, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 94-229 Waipahu Depot St, Ste 304, Waipahu, HI 96797 Phone: 808-391-7678 | |
Mrs. Maile M K Collado, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 94-216 Farrington Hwy # A102, Waipahu, HI 96797 Phone: 808-600-9148 Fax: 800-942-7053 | |
Athena Lynn Lagundi, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 94-229 Waipahu Depot St, Suite 304, Waipahu, HI 96797 Phone: 808-391-7678 | |
Ms. Mary Ann Ramil, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 94-370 Pupupani St, Waipahu, HI 96797 Phone: 808-676-7700 Fax: 808-676-7708 |