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

Alexander Nathaniel MA, DPT

Individual provider Physical Therapist · NPI 1245959519

Alexander Nathaniel MA, DPT is a Physical Therapist in Private Practice in Lahaina, Hawaii. Graduated from University of Washington School of Medicine in 2022, 4 years ago. Practices with South Shore Physical Therapy and Sportsmedicine, Inc, a 14-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
4
Trained at
University of Washington School of Medicine
Licensed in
HI
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

40 Kupuohi St Ste 105
Lahaina, HI 96761-2714
Phone: (808) 661-0077
Show map & directions

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

Additional practice locations (1)

  • 411 Huku Lii Pl Ste 101, Kihei, HI 96753-7062 — (808) 879-0077

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-5510 (HI)

Record details

NPI number1245959519
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 22, 2022
Last updated in NPPESAugust 22, 2022
Certification dateAugust 22, 2022
Mailing address411 Huku Lii Pl Ste 101, Kihei, HI 96753-7062

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice South Shore Physical Therapy And Sportsmedicine, Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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