Individual provider Active NPI

Kimberly Kanani Masuda, DPT

  • Physical Therapist
  • Kapolei, HI
National Provider Identifier
1598598328
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5979 Issued in HI
Practice address
458 Manawai St Apt 1203
Kapolei, HI 96707-4612
Phone
(808) 367-0986
NPI assigned
Aug 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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 5979 HI Primary

Addresses

Primary practice location

458 Manawai St Apt 1203
Kapolei, HI 96707-4612

Mailing address

94-1043 Heahea St
Waipahu, HI 96797-4706
Phone (808) 551-3114

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241104002391 HI Practitioner - Physical Therapist in Private Practice 6507399136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laulima Physical Therapy and Rehabilitation LLCGroup PAC ID 5193009827, 2 clinicians

Practice addresses (Care Compare)

458 Manawai St
Apt 1203
Kapolei, HI 96707-4612
Phone (808) 208-2371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5979HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Laulima Physical Therapy & Rehabilitation LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Laulima Physical Therapy & Rehabilitation LLC PastSince Sep 1, 2024 Accepting new patients

Locations

1600 Kapiolani Blvd
Ste 524
Honolulu, HI 96814
Phone (808) 203-3399

Organizations & group practices 2

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": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1598598328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1043 HEAHEA ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974706",
            "telephone_number": "808-551-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 MANAWAI ST APT 1203",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967074612",
            "telephone_number": "808-367-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASUDA",
        "first_name": "KIMBERLY",
        "middle_name": "KANANI",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "5979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.