Individual provider Active NPI

Bradley Kaya, PT

  • Physical Therapist
  • Kaneohe, HI
National Provider Identifier
1023119351
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1186 Issued in HI
Practice address
45-461 Pua Inia St
Kaneohe, HI 96744-2937
Phone
(808) 235-5398
Fax
(808) 235-6359
NPI assigned
Sep 26, 2006
Last updated
Jul 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1186 HI Primary

Addresses

Primary practice location

45-461 Pua Inia St
Kaneohe, HI 96744-2937

Mailing address

407 Uluniu St Ste 301
Kailua, HI 96734-2544
Phone (808) 261-4321

Other identifiers 1

IdentifierTypeStateIssuer
006621MedicaidHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120119000224 HI Practitioner - Physical Therapist in Private Practice 0042487837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fukuji and Lum Physical Therapy Associates IncGroup PAC ID 7719878818, 17 clinicians

Practice addresses (Care Compare)

45 -035 Kaneohe Bay Dr
Kaneohe, HI 96744-2417
Phone (808) 234-5353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1186HIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fukuji & Lum Physical Therapy Associates Inc. Physical Therapist CurrentSince May 26, 2017 Accepting new patients

Locations

405 N Kuakini St
Ste 701
Honolulu, HI 96817
Phone (808) 234-5353

407 Uluniu St
Ste 301
Kailua, HI 96734
Phone (808) 261-4321

45-035 Kaneohe Bay Dr
Kaneohe, HI 96744
Phone (808) 234-5353

45-035 Kaneohe Bay Dr
Ste A
Kaneohe, HI 96744
Phone (808) 234-5353

45-461 Pua Inia St
Kaneohe, HI 96744
Phone (808) 235-5398

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1023119351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 ULUNIU ST STE 301",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342544",
            "telephone_number": "808-261-4321",
            "fax_number": "808-261-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-461 PUA INIA ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442937",
            "telephone_number": "808-235-5398",
            "fax_number": "808-235-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYA",
        "first_name": "BRADLEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "1186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006621",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.