State of Hawaii Department of Health

Office of Health Care Assurance

Medicare Section

OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY

HAWAII:

NUMBER	FACILITY	MEDICARE	LOCATION
1	HAWAII PHYSICAL THERAPY AND CHIROPRACTIC CLINIC, INC. 261 Waianuenue Avenue Hilo, Hawaii 96720 Phone: (808) 961-5663 Fax: (808) 969-3767 Harvelee Leite-Ah Yo, RPT, DC Director Provider No. 126509	X	HAWAII
2	HAWAIIAN REHABILITATION SERVICES, INC. (Kohala Hospital-Extension Unit) 54-383 Hospital Road Kapaau, Hawaii 96755 Mailing Address: P.O. Box 10 Kapaau, Hawaii 96755 Phone: (808) 889-6211 Fax: (808) 889-6978 Jean R. Thompson, PT Administrator Provider No. 126502	X	HAWAII
3	HAWAIIAN REHABILITATION SERVICES, INC. (Hualalai Road) 75-165 Hualalai Road Kailua-Kona, Hawaii 96740 Phone: (808) 329-0591 Fax: (808) 329-2066 Jean R. Thompson, PT Administrator Provider No. 126502	X	HAWAII
4	HAWAIIAN REHABILITATION SERVICES, INC. (Mamalahoa Highway-Extension Unit) Carter Professional Center 65-1230 Mamalahoa Highway, Suite E-11 Kamuela, Hawaii 96743 Phone: (808) 885-7131 Fax: (808) 885-5926 Jean R. Thompson, PT Administrator Provider No. 126502	X	HAWAII
5	HAWAIIAN REHABILITATION SERVICES, INC. (Waikoloa Road-Extension Unit) Waikoloa Highland Center 68-1845 Waikoloa Road, Suite 211 Waikoloa, Hawaii 96738 Phone: (808) 883-3400 Fax: (808) 883-3440 Jean R. Thompson, PT Administrator Provider No. 126502	X	HAWAII
6	REHAB AT HILO 76 Puuhonu Place Hilo, Hawaii 96720 Phone: (808) 961-5776 Fax: (808) 961-6473 Don Yamauchi, P.T. Clinic Supervisor Provider No. 126517	X	HAWAII
7	REHAB AT KAILUA-KONA 75-1029 Henry Street, Suite 101 Kailua-Kona, Hawaii 96740 Phone: (808) 334-0806 Fax: (808) 334-0483 John Bason Clinic Supervisor Provider No. 126511	X	HAWAII
8	REHAB AT KONA (Extension Unit) 79-7430 Mamalahoa Highway Kealakekua, Hawaii 96750 Phone: (808) 322-6766 Fax: (808) 322-6081 John Bason Clinic Supervisor Provider No. 126511	X	HAWAII
9	REHAB AT MAUI - KIHEI 221 Piikea Avenue, Suite D Kihei, Hawaii 96753 Phone: (808) 879-5211 Fax: (808) 879-5213 Carol Tokishi Manager, Rehab Services Provider No. 126512	X	MAUI

OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY

PACIFIC AREA (AMERICAN SAMOA, GUAM, AND SAIPAN)

NUMBER	FACILITY	MEDICARE	LOCATION
1	PT REHAB CENTER Kim’s Building, Suite 102 B, Middle Road Garapan, MP 96950 Phone: (670) 323-8742 Fax: (670) 323-8741 Gia B. Ramos Administrator Provider No. 666500	X	SAIPAN

OHCA/MEDICARE October 27, 2010 kh