Physical Therapist
ELITE PHYSICAL THERAPY AND SPORTS
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1235180811 · enumerated 2006-05-16 · record updated 2020-08-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: MARK STACK PT, Owner-Manager · (808) 572-7790
Addresses and phones
- Mailing address 1043 MAKAWAO AVE, SUITE 107, MAKAWAO, HI, 96768-9465 (808) 572-7790 Fax (808) 573-4721 Google Maps Apple Maps OpenStreetMap
- Practice location 1043 MAKAWAO AVE, SUITE 107, MAKAWAO, HI, 96768-9465 (808) 572-7790 Fax (808) 573-4721 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X · Primary · License W6201699001 HI
In this directory
Locations and evidence
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Practice location
MAKAWAO, HI, 967689465
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.