Provider Demographics
NPI:1730252719
Name:NAKAO PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:NAKAO PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GUY
Authorized Official - Middle Name:ASAO
Authorized Official - Last Name:NAKAO
Authorized Official - Suffix:
Authorized Official - Credentials:RPT LMT
Authorized Official - Phone:808-969-7072
Mailing Address - Street 1:278 KILAUEA AVENUE
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2948
Mailing Address - Country:US
Mailing Address - Phone:808-969-7072
Mailing Address - Fax:808-969-7072
Practice Address - Street 1:278 KILAUEA AVENUE
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2948
Practice Address - Country:US
Practice Address - Phone:808-969-7072
Practice Address - Fax:808-969-7072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI101391Medicare ID - Type Unspecified