Active NPI
Jocelyn Shiro
- Physical Therapist
- Kaneohe, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4068
- Practice address
- 45-035 Kaneohe Bay Dr
A
Kaneohe, HI 96744-2417 - Phone
- (808) 234-5353
- Fax
- (808) 235-5858
- NPI assigned
- Apr 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 684 | AK | |
| Physical Therapist | 225100000X | 4068 | HI | Primary |
Addresses
Primary practice location
45-035 Kaneohe Bay Dr
A
Kaneohe, HI 96744-2417
Mailing address
45035 Kaneohe Bay Drive
A
Kaneohe, HI 96744
Phone (808) 234-5353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
407 Uluniu St
Suite 301
Kailua, HI 96734-2537
Phone (808) 261-4321
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 684 | AK | MD | Physical Therapist |
| 4068 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fukuji & Lum Physical Therapy Associates Inc. | Physical Therapist | Current | Accepting new patients |
Locations
91-3257 Kualakai Pkwy
Ewa Beach, HI 96706
1040 Richards St
Honolulu, HI 96813
407 Uluniu St
Ste 301
Kailua, HI 96734
Phone (808) 261-4321
45-035 Kaneohe Bay Dr
#A
Kaneohe, HI 96744
Phone (808) 234-5353
45-035 Kaneohe Bay Dr
Kaneohe, HI 96744
Phone (808) 234-5353
Organizations & group practices 1
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.
-
- Physical Therapist
- Kailua, HI
- NPI 1205922812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451520000000",
"number": "1801239652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45035 KANEOHE BAY DRIVE",
"address_2": "A",
"city": "KANEOHE",
"state": "HI",
"postal_code": "96744",
"telephone_number": "808-234-5353",
"fax_number": "808-235-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45-035 KANEOHE BAY DR",
"address_2": "A",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967442417",
"telephone_number": "808-234-5353",
"fax_number": "808-235-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRO",
"first_name": "JOCELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-11",
"last_updated": "2015-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "684",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "4068",
"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 Dec 31, 2015; 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.