Brenden Kin Mun Lum, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

1723 Kalakaua Ave
Honolulu, HI 96826-3703

Phone

(808) 518-2273

NPI assigned

Sep 8, 2022

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1760103691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219A 9TH AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 KALAKAUA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968263703",
            "telephone_number": "808-518-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUM",
        "first_name": "BRENDEN",
        "middle_name": "KIN MUN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Luke, DC
• Wyland Luke, DC
• Natalia Lukey, M.ED.
• Marni Lum Dezzani, MD
• Amy Lum
• Calbert M Lum, D.D.S.
• Celine Lum, DPT
• Chelsy Lum, BCBA, LBA
• Christopher Lum
• Christopher T. Lum, MD

• Physical Therapy Assistant in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Physical Therapy Assistant in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.