Taryn Fukuroku, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4076 Issued in HI

Practice address

1120 12TH Ave Ste 302
Honolulu, HI 96816-3790

Phone

(808) 734-4043

NPI assigned

Sep 24, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fysiotherapie Hawaii IncGroup PAC ID 7012014046, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fysiotherapie Hawaii Inc

  • Physical Therapist
  • Honolulu, HI
  • NPI 1124051883

  HI, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1366812992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 12TH AVE STE 302",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 12TH AVE STE 302",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163790",
            "telephone_number": "808-734-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUKUROKU",
        "first_name": "TARYN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "4076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulette T. Fukumoto, CCC-SLP
• Takakazu Fukumura, MD
• Justin Fukunaga
• Nicole Lipsitt Fukunaga, RBT
• James Kimo Fukuroda, DDS
• Braxton Seiya Fukutomi
• Osamu Fukuyama, M.D.
• Bradley A Fuller, P.T.
• Erin Nicole Fuller, MD
• Ivette Fullerton, MSW

• All providers in Honolulu, HI
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.