Individual provider Active NPI

Shaw Okawara

  • Physical Therapist
  • Kailua, HI
National Provider Identifier
1427461284
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-3100 Issued in HI
Practice address
407 Uluniu St
#301
Kailua, HI 96734-2519
Phone
(808) 261-4321
Fax
(808) 261-4320
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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 PT-3100 HI Primary

Addresses

Primary practice location

407 Uluniu St
#301
Kailua, HI 96734-2519

Mailing address

407 Uluniu St
#301
Kailua, HI 96734-2519
Phone (808) 261-4321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150219002489 HI Practitioner - Physical Therapist in Private Practice 8527383223 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-3100HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fukuji & Lum Physical Therapy Associates Inc. Physical Therapist CurrentSince Aug 1, 2014 Accepting new patients

Locations

405 N Kuakini St
Ste 701
Honolulu, HI 96817
Phone (808) 234-5353

405 N Kuakini St
Ste 1101
Honolulu, HI 96817
Phone (808) 533-0400

1040 Richards St
Honolulu, HI 96813

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

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

45-461 Pua Inia St
Kaneohe, HI 96744
Phone (808) 235-5398

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

Organizations & group practices 1

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1427461284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 ULUNIU ST",
            "address_2": "#301",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342519",
            "telephone_number": "808-261-4321",
            "fax_number": "808-261-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 ULUNIU ST",
            "address_2": "#301",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342519",
            "telephone_number": "808-261-4321",
            "fax_number": "808-261-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKAWARA",
        "first_name": "SHAW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-3100",
            "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 Jun 9, 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.