Individual provider Active NPI

Jason Edward Lau, DPT

  • Physical Therapist
  • Kailua, HI
National Provider Identifier
1073221164
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
407 Uluniu St Ste 301
Kailua, HI 96734-2537
Phone
(808) 261-4321
NPI assigned
Nov 8, 2022
Last updated
Nov 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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 Primary

Addresses

Primary practice location

407 Uluniu St Ste 301
Kailua, HI 96734-2537

Mailing address

407 Uluniu St Ste 301
Kailua, HI 96734-2537
Phone (808) 261-4321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230308000806 HI Practitioner - Physical Therapist in Private Practice 4688047996 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
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)

120 Sand Island Access Rd
Suite 6
Honolulu, HI 96819-4920
Phone (808) 836-4840

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fukuji & Lum Physical Therapy Associates Inc. Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Physical & Industrial Rehabilitation Clinic of Oahu LLC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients

Locations

120 Sand Island Access Rd
Ste 6
Honolulu, HI 96819
Phone (808) 836-4840

707 Richards St
Ste 525
Honolulu, HI 96813

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

Organizations & group practices 2

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": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1073221164",
    "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": "967342537",
            "telephone_number": "808-261-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 ULUNIU ST STE 301",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342537",
            "telephone_number": "808-261-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.