Active NPI
Paulette Lum, PT
- Physical Therapist
- Kalaheo, HI
National Provider Identifier
1033488713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 341
- Practice address
- 4845C Puuwai Rd
Kalaheo, HI 96741-8337 - Phone
- (808) 651-2327
- NPI assigned
- Dec 23, 2011
- Last updated
- Dec 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 341 | HI | Primary |
Addresses
Primary practice location
4845C Puuwai Rd
Kalaheo, HI 96741-8337
Mailing address
4845C Puuwai Rd
Kalaheo, HI 96741-8337
Phone (808) 651-2327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 341 | HI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324598400000",
"number": "1033488713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4845C PUUWAI RD",
"city": "KALAHEO",
"state": "HI",
"postal_code": "967418337",
"telephone_number": "808-651-2327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4845C PUUWAI RD",
"city": "KALAHEO",
"state": "HI",
"postal_code": "967418337",
"telephone_number": "808-651-2327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUM",
"first_name": "PAULETTE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-23",
"last_updated": "2011-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalaheo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.