Provider Demographics
NPI:1386737831
Name:ALDCROFT, ALISON E (PT)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:E
Last Name:ALDCROFT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1337 HIGHVIEW PLACE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816
Mailing Address - Country:US
Mailing Address - Phone:808-735-8416
Mailing Address - Fax:
Practice Address - Street 1:1337 HIGHVIEW PLACE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816
Practice Address - Country:US
Practice Address - Phone:808-735-8416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT2140225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI54064202Medicaid
HI54064205Medicaid
HI7624318OtherUHA 99-0332020
HI99-0332020OtherHMAA
HI509203OtherHMA
HI54064200OtherALOHA CARE
HI00B0243119OtherHNL HMSA PPO/HMO/QST/65C
HI00D0243115OtherKAI HMSA PPO/HMO/QST/65C
HI00D0243115OtherTRICARE
HI54064205Medicaid