Provider Demographics
NPI:1386078459
Name:JONES, BRIAN D (DPT)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:D
Last Name:JONES
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1535 PENSACOLA ST STE C5
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-3878
Mailing Address - Country:US
Mailing Address - Phone:808-214-2478
Mailing Address - Fax:808-726-5434
Practice Address - Street 1:1535 PENSACOLA ST STE C5
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-3878
Practice Address - Country:US
Practice Address - Phone:808-214-2478
Practice Address - Fax:808-726-5434
Is Sole Proprietor?:No
Enumeration Date:2013-08-26
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT28331225100000X
HIPT-3731225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist