Active NPI
Jason A Dacumos, PT, MPT, OCS
- Specialist
- Honolulu, HI
National Provider Identifier
1366487837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT-2561
- 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
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 |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Makai Mobile Rehab, LLC | Current | Accepting new patients | |
| Makai Mobile Rehab, LLC | Current | Accepting new patients | |
| Scott J. Miscovich MD, LLC | Past | Accepting new patients | |
| Portner Orthopedic Rehabilitation Incorporated | Past | 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.
-
- Physical Therapy Clinic/Center
- Honolulu, HI
- NPI 1649408683
-
- Physical Therapy Clinic/Center
- Honolulu, HI
- NPI 1265326953
-
- Physical Medicine & Rehabilitation Physician
- Kaneohe, HI
- NPI 1316087315
-
- Family Medicine Physician
- Kaneohe, HI
- NPI 1073796868
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.