South Shore Physical Therapy & Sportsmedicine, Inc
NPI 1396601647 · Physical Therapist · Kahului, HI
Enrolled with Medicare as Dme Supplier - Independently-Practicing Physical Therapist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Shore Physical Therapy & Sportsmedicine, Inc is a Physical Therapist organization in Kahului, HI (NPI 1396601647).
Provider details
- NPI number
- 1396601647
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Tiffany Prangnell, President(808) 298-4933
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-12-30
- Last updated
- 2025-12-30
- Certified
- 2025-12-30
Frequently asked questions
- What is South Shore Physical Therapy & Sportsmedicine, Inc's NPI number?
- South Shore Physical Therapy & Sportsmedicine, Inc's National Provider Identifier (NPI) is 1396601647, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Shore Physical Therapy & Sportsmedicine, Inc?
- South Shore Physical Therapy & Sportsmedicine, Inc is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is South Shore Physical Therapy & Sportsmedicine, Inc located?
- South Shore Physical Therapy & Sportsmedicine, Inc's practice location on file with NPPES is 118 Maa St, Kahului, HI 96732-3602.
- What is South Shore Physical Therapy & Sportsmedicine, Inc's phone number?
- The practice phone number listed in the NPPES registry for South Shore Physical Therapy & Sportsmedicine, Inc is (808) 244-0077.
- Does South Shore Physical Therapy & Sportsmedicine, Inc accept Medicare?
- South Shore Physical Therapy & Sportsmedicine, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Shore Physical Therapy & Sportsmedicine, Inc?
- The authorized official listed on South Shore Physical Therapy & Sportsmedicine, Inc's NPPES record is Tiffany Prangnell, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Shore Physical Therapy & Sportsmedicine, Inc's NPI active?
- Yes — South Shore Physical Therapy & Sportsmedicine, Inc's NPI (1396601647) is active in the NPPES registry as of the last update on 2025-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.