Organization Active NPI

Hawaii Optimum Performance, LLC

  • Chiropractor
  • Honolulu, HI
National Provider Identifier
1013661560
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HAWAII OPTIMUM PERFORMANCE, LLC
Practice address
1212 Punahou St
Honolulu, HI 96826-1031
Phone
(808) 678-8467
Fax
(808) 745-1545
NPI assigned
Feb 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kevin KT Chang, ATC, LMTNPI 1427635051
Title
Owner/Athletic Trainer
Phone
(808) 286-5708

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

1212 Punahou St
Honolulu, HI 96826-1031

Mailing address

PO Box 235473
Honolulu, HI 96823-3507
Phone (808) 678-8467

Other practice location 1

98-1268 Kaahumanu St Ste 204
Pearl City, HI 96782-3253
Phone (808) 678-8467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250313003277 HI Part B Supplier - Clinic/Group Practice 9638691181 Receives reassigned benefits from 3 practitioners
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

98-1268 Kaahumanu St
Ste 204
Pearl City, HI 96782
Phone (808) 678-8467

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1013661560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235473",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968233507",
            "telephone_number": "808-678-8467",
            "fax_number": "808-745-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 PUNAHOU ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261031",
            "telephone_number": "808-678-8467",
            "fax_number": "808-745-1545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98-1268 Kaahumanu St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Pearl City",
            "state": "HI",
            "postal_code": "967823253",
            "country_code": "US",
            "telephone_number": "808-678-8467",
            "fax_number": "808-745-1545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAWAII OPTIMUM PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "KT",
        "authorized_official_title_or_position": "OWNER/ATHLETIC TRAINER",
        "authorized_official_telephone_number": "808-286-5708",
        "authorized_official_credential": "ATC, LMT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.