Fukumoto Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FUKUMOTO PHYSICAL THERAPY LLC

Practice address

94-1245 Haleululaau St # A2-52
Waipahu, HI 96797-6218

Phone

(808) 223-0496

NPI assigned

May 15, 2023

Organization subpart

No

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

Authorized official

Name

Jordan Fukumoto, DPTNPI 1457871493

Title

Physical Therapist

Phone

(808) 223-0496

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan Fukumoto

  • Orthopedic Physical Therapist
  • Vancouver, WA
  • NPI 1457871493
  NPD Authorized official

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1902597669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1245 HALEULULAAU ST # A2-52",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967976218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1245 HALEULULAAU ST # A2-52",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967976218",
            "telephone_number": "808-223-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUKUMOTO PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "FUKUMOTO",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "808-223-0496",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Teruo Fujino, DDS
• James C Fujisaki, OD
• Jon Shinichi Fujita, M.D.
• Michele Fujita, PA-C
• Sarah Mari Fujiwara
• Steven Toshi Fukumoto, RPH
• Morgan Fuller, MOT, OTR/L
• Romina Furr
• Evon L Futch, RBT
• Anayah Gabner

• Physical Therapist in Waipahu, HI
• Providers in Waipahu, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.