Active NPI
Kelsey Kumiji, PT
- Physical Therapist
- Hilo, HI
National Provider Identifier
1861504656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00009876
- Practice address
- 944 W Kawailani St
Hilo, HI 96720 - Phone
- (808) 959-9151
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 00009876 | WA | Primary |
Addresses
Primary practice location
944 W Kawailani St
Hilo, HI 96720
Mailing address
415 Huali PL
Hilo, HI 96720-2615
Phone (808) 936-2677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8436214 | Medicaid | WA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00009876 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345420800000",
"number": "1861504656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 HUALI PL",
"city": "HILO",
"state": "HI",
"postal_code": "967202615",
"telephone_number": "808-936-2677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "944 W KAWAILANI ST",
"city": "HILO",
"state": "HI",
"postal_code": "96720",
"telephone_number": "808-959-9151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMIJI",
"first_name": "KELSEY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2012-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "00009876",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8436214",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.