Matthew R Kociuba, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4895 Issued in HI

Practice address

411 Huku Lii PL Ste 101
Kihei, HI 96753-7062

Phone

(808) 244-0077

Fax

(808) 879-0177

NPI assigned

Aug 30, 2019

Last updated

Jul 7, 2021By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1548818610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 HUKU LII PL STE 101",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537062",
            "telephone_number": "808-244-0077",
            "fax_number": "808-879-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 HUKU LII PL STE 101",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537062",
            "telephone_number": "808-244-0077",
            "fax_number": "808-879-0177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1827 Wells St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967932370",
            "country_code": "US",
            "telephone_number": "808-244-0077",
            "fax_number": "808-244-0177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Kupuohi St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Lahaina",
            "state": "HI",
            "postal_code": "967612714",
            "country_code": "US",
            "telephone_number": "808-244-0077",
            "fax_number": "808-661-0177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOCIUBA",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-30",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "4895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan King
• Mariah King
• Noosha J King
• Shane Russell King
• John Marshall Knox II, MD
• David Koerner
• Kokua Physical Therapy LLC
• Kokua Physical Therapy, Inc.
• Sandra Joy Kosel, PHD
• Thomas Kowalick, MSPT

• Physical Therapist in Kihei, HI
• Providers in Kihei, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.