Active NPI
Leslie Ulumana Mar Jr., COTA
- Occupational Therapy Assistant
- Mililani, HI
National Provider Identifier
1851759542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 16-1314
- Practice address
- 94-373 Punono St
Mililani, HI 96789-2566 - Phone
- (808) 778-2015
- NPI assigned
- Feb 9, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 16-1314 | NV | Primary |
Addresses
Primary practice location
94-373 Punono St
Mililani, HI 96789-2566
Mailing address
94-373 Punono St
Mililani, HI 96789-2566
Phone (808) 778-2015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16-1314 | NV | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454976000000",
"number": "1851759542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-373 PUNONO ST",
"city": "MILILANI",
"state": "HI",
"postal_code": "967892566",
"telephone_number": "808-778-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-373 PUNONO ST",
"city": "MILILANI",
"state": "HI",
"postal_code": "967892566",
"telephone_number": "808-778-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAR",
"first_name": "LESLIE",
"middle_name": "ULUMANA",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-09",
"last_updated": "2016-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NV",
"license": "16-1314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mililani, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.