| Physical Therapy At Pukalani, Llc | |
|
81 Makawao Ave Ste 110, Makawao, HI 96768-8859 | |
| (808) 572-2281 | |
| (808) 573-5869 |
| Full Name | Physical Therapy At Pukalani, Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 81 Makawao Ave Ste 110, Makawao, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073198115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | Daniel Edward Schaal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871699827 PECOS PAC ID: 7517943756 Enrollment ID: I20051004000565 |
| Provider Name | Lisa A Gregoire |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982840401 PECOS PAC ID: 1355407669 Enrollment ID: I20090311000172 |
| Provider Name | Jeffrey Gatling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962698225 PECOS PAC ID: 8820258825 Enrollment ID: I20120329000148 |
| Provider Name | Christopher Edmundson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235314584 PECOS PAC ID: 9133138670 Enrollment ID: I20210513003085 |
| Provider Name | Abel Daniel Corona |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093356081 PECOS PAC ID: 4981936051 Enrollment ID: I20210615003644 |
| Provider Name | Jordan Butay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033623285 PECOS PAC ID: 6507124054 Enrollment ID: I20210622003463 |
| Provider Name | Hannah Musser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871138198 PECOS PAC ID: 3678906732 Enrollment ID: I20220124001992 |
| Provider Name | James Ludington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528329935 PECOS PAC ID: 7214187343 Enrollment ID: I20230502001028 |
| Provider Name | Jonathan Raymond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023095890 PECOS PAC ID: 8527040914 Enrollment ID: I20230831003325 |
| Provider Name | Kenneth Mercado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811713431 PECOS PAC ID: 7315473808 Enrollment ID: I20241206002652 |
| Mailing Address | Practice Location Address |
|---|---|
| Physical Therapy At Pukalani, Llc 81 Makawao Ave Ste 110, Makawao, HI 96768-8859 Ph: (808) 572-2281 | Physical Therapy At Pukalani, Llc 81 Makawao Ave Ste 110, Makawao, HI 96768-8859 Ph: (808) 572-2281 |