Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Countryside Physical Therapy, Inc

Organization Physical Therapist · NPI 1124187786

Countryside Physical Therapy, Inc is a Physical Therapist in Waialua, Hawaii. Licensed in Hawaii. Registered with an NPI since 2006.

Licensed in
HI
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

67-292 Goodale Ave #A4
Waialua, HI 96791
Phone: (808) 637-4010
Fax: (808) 637-6020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-2333 (HI)

Record details

NPI number1124187786
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Kikuchi — Ceo · (808) 637-4010
NPI enumeratedDecember 8, 2006
Last updated in NPPESJanuary 22, 2009
Mailing address67-188 Kuhi St, Waialua, HI 96791-9634