Organization Active NPI

Island Physio LLC

  • Orthopedic Physical Therapist
  • Kaneohe, HI
National Provider Identifier
1376986877
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2541 Issued in HI
Legal business name
ISLAND PHYSIO LLC
Practice address
47-471 Kialua St
Kaneohe, HI 96744-4848
Phone
(808) 551-7730
Fax
(808) 200-4584
NPI assigned
Apr 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Shaun M Kunimura, D.P.T.NPI 1942309448
Title
Physical Therapist/Owner
Phone
(808) 551-7730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 2541 HI Primary

Addresses

Primary practice location

47-471 Kialua St
Kaneohe, HI 96744-4848

Mailing address

47-471 Kialua St
Kaneohe, HI 96744-4848
Phone (808) 551-7730

Other identifiers 1

IdentifierTypeStateIssuer
2541OtherHIPT LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130425000260 HI Part B Supplier - Clinic/Group Practice 1951547645 Receives reassigned benefits from 2 practitioners
Practice locations: Kaneohe, HI

National Provider Directory

National Provider Directory

Locations

46-005 Kawa St
Ste 211
Kaneohe, HI 96744
Phone (808) 235-6818

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1376986877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47-471 KIALUA ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967444848",
            "telephone_number": "808-551-7730",
            "fax_number": "808-200-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47-471 KIALUA ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967444848",
            "telephone_number": "808-551-7730",
            "fax_number": "808-200-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND PHYSIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-15",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "KUNIMURA",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "808-551-7730",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "HI",
            "license": "2541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "2541",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.