Organization Active NPI

Fusion Therapeutics LLC

  • Physical Therapist
  • Kaneohe, HI
National Provider Identifier
1508904087
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 783 Issued in HI
Legal business name
FUSION THERAPEUTICS LLC
Practice address
45-248 Popoki PL
Kaneohe, HI 96744-2353
Phone
(808) 366-2740
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gary Kunio Uyeda, DPTNPI 1649345604
Title
Owner
Phone
(808) 366-2740

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT 783 HI Primary

Addresses

Primary practice location

45-248 Popoki PL
Kaneohe, HI 96744-2353

Mailing address

45-248 Popoki PL
Kaneohe, HI 96744-2353
Phone (808) 366-2740

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130506000022 HI Part B Supplier - Clinic/Group Practice 9830336148 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

2733 East Manoa Rd
#205
Honolulu, HI 96822
Phone (808) 371-3011

2733 East Manoa Rd
Ste 205
Honolulu, HI 96822

Practitioners & affiliated clinicians

Practitioners 1

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508904087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-248 POPOKI PL",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442353",
            "telephone_number": "808-366-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-248 POPOKI PL",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442353",
            "telephone_number": "808-366-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UYEDA",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "KUNIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-366-2740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT 783",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.