Individual provider Active NPI

Jason A Dacumos, PT, MPT, OCS

  • Specialist
  • Honolulu, HI
National Provider Identifier
1366487837
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT-2561 Issued in HI
Practice address
7114 Niumalu Loop
Honolulu, HI 96825-1635
Phone
(808) 783-9320
Fax
(808) 396-5581
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT-2561 HI Primary

Addresses

Primary practice location

7114 Niumalu Loop
Honolulu, HI 96825-1635

Mailing address

7114 Niumalu Loop
Honolulu, HI 96825-1635
Phone (808) 783-9320

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070502000141 HI Practitioner - Physical Therapist in Private Practice 4587760921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Makai Mobile Rehab LLCGroup PAC ID 5193862175, 6 clinicians

Practice addresses (Care Compare)

7114 Niumalu Loop
Honolulu, HI 96825-1635
Phone (808) 783-9320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Makai Mobile Rehab, LLC CurrentSince Jun 8, 2025 Accepting new patients
Makai Mobile Rehab, LLC CurrentSince Sep 15, 2009 Accepting new patients
Scott J. Miscovich MD, LLC PastSince Apr 20, 2003 Accepting new patients
Portner Orthopedic Rehabilitation Incorporated PastSince Sep 8, 2024 Accepting new patients

Locations

820 Mililani St
Ste 702A
Honolulu, HI 96813
Phone (808) 523-6393

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1366487837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 NIUMALU LOOP",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251635",
            "telephone_number": "808-783-9320",
            "fax_number": "808-396-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7114 NIUMALU LOOP",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251635",
            "telephone_number": "808-783-9320",
            "fax_number": "808-396-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACUMOS",
        "first_name": "JASON",
        "middle_name": "A",
        "credential": "PT, MPT, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "PT-2561",
            "primary": true
        }
    ],
    "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 Sep 24, 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.