| Organization Name: | MCCARTHY ORTHOPEDIC REHABILITATION & SPORTS MEDICINE, INC. |
| NPI Number: | 1023376563 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL ROBERT MCCARTHY (PRESIDENT/DIRECTOR) |
| Mailing Address: | 415 Uluniu St Suite A Kailua |
| State: | HI US |
| Postal Code: | 967342503 |
| Phone Number: | 8082628808 |
| Fax Number: | 8082635633 |
| NPI Enumeration Date: | 05/02/2012 |
| NPI Last Update Date: | 05/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PHYSICAL THERAPY 958 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |