Individual provider Active NPI

Leifchard Maduli Nalundasan

  • Physical Therapist
  • Waipahu, HI
National Provider Identifier
1871335646
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-5936 Issued in HI
Practice address
94-216 Farrington Hwy
Waipahu, HI 96797-1922
Phone
(808) 600-9148
NPI assigned
Jun 11, 2024
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-5936 HI Primary

Addresses

Primary practice location

94-216 Farrington Hwy
Waipahu, HI 96797-1922

Mailing address

PO Box 970068
Waipahu, HI 96797-0068
Phone (808) 600-9148

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240712002121 HI Practitioner - Physical Therapist in Private Practice 1153866223 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wahiawa Rehab Services IncGroup PAC ID 5496646283, 6 clinicians

Practice addresses (Care Compare)

735 California Ave
Wahiawa, HI 96786-1935
Phone (808) 628-9988

91 -3633 Kauluakoko St
Unit 606
Ewa Beach, HI 96706-5869
Phone (808) 232-5073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Waipahu Physical Therapy, Inc Physical Therapist CurrentSince Jul 4, 2025 Accepting new patients
Wahiawa Rehab Services Inc Physical Therapist CurrentSince May 4, 2025 Accepting new patients
Waianae Valley Physical Therapy, Inc. Physical Therapist CurrentSince Aug 8, 2025 Accepting new patients
Professional Rehab Therapy, LLC Physical Therapist CurrentSince Jun 11, 2025 Accepting new patients

Locations

735 California Ave
Wahiawa, HI 96786
Phone (808) 628-9988

85-885 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-4764

94-370 Pupupani St
Waipahu, HI 96797
Phone (808) 676-7700

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1871335646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970068",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967970068",
            "telephone_number": "808-600-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-216 FARRINGTON HWY",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971922",
            "telephone_number": "808-600-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALUNDASAN",
        "first_name": "LEIFCHARD",
        "middle_name": "MADULI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-11",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-5936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.

Verify at the official NPI Registry.