NPIMap

Organization Active NPI

Makai Mobile Rehab, LLC

  • Physical Therapy Clinic/Center
  • Honolulu, HI
National Provider Identifier
1649408683
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2561 Issued in HI
Legal business name
MAKAI MOBILE REHAB, LLC
Practice address
7114 Niumalu Loop
Honolulu, HI 96825-1635
Phone
(808) 783-9320
Fax
(808) 396-5581
NPI assigned
Jun 29, 2009
Last updated
Sep 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
Mr. Jason Alquiza Dacumos, PT, MPT, OCSNPI 1366487837
Title
President/Owner
Phone
(808) 783-9320

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 Therapy Clinic/Center 261QP2000X 2561 HI Primary

Addresses

Primary practice location

7114 Niumalu Loop
Honolulu, HI 96825-1635

Mailing address

7114 Niumalu Loop
Honolulu, HI 96825-1635
Phone (808) 783-9320

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091023000175 HI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193862175 Receives reassigned benefits from 8 practitioners
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1649408683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 NIUMALU LOOP",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251635",
            "telephone_number": "808-783-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7114 NIUMALU LOOP",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251635",
            "telephone_number": "808-783-9320",
            "fax_number": "808-396-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKAI MOBILE REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "DACUMOS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ALQUIZA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "808-783-9320",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, MPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "HI",
            "license": "2561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.