Individual provider Active NPI

Kolby Golden

  • Orthopedic Physical Therapist
  • Winter Park, FL
National Provider Identifier
1912627407
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
39168 Issued in FL
Practice address
351 N Orlando Ave
Winter Park, FL 32789-2911
Phone
(407) 303-7600
NPI assigned
Sep 2, 2022
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 39168 FL Primary

Addresses

Primary practice location

351 N Orlando Ave
Winter Park, FL 32789-2911

Mailing address

407 Uluniu St Ste 301
Kailua, HI 96734-2537
Phone (808) 261-4321

Other practice location 1

407 Uluniu St Ste 301
Kailua, HI 96734-2537
Phone (808) 261-4321

Other practice location 2

45-035A Kaneohe Bay Drive
Kaneohe, HI 96744
Phone (808) 261-4321

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://fukujilumpt.com/ Direct
CONNECT URL https://www.adventhealth.com/sports-medicine-and-rehab/adventhealth-sports-med-and-rehab-central-florida/form/request-appointment Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260611002524 HI Practitioner - Physical Therapist in Private Practice 9931671849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

407 Uluniu St
Suite 301
Kailua, HI 96734-2531

407 Uluniu St
Suite 301
Kailua, HI 96734-2537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39168FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fukuji & Lum Physical Therapy Associates Inc. CurrentSince May 18, 2026 Accepting new patients
Adventist Health System-Sunbelt, Inc PastSince Sep 4, 2022 Accepting new patients

Locations

407 Uluniu St
Ste 301
Kailua, HI 96734
Phone (808) 261-4321

45-035 Kaneohe Bay Dr
Kaneohe, HI 96744
Phone (808) 234-5353

45-035 Kaneohe Bay Dr
#A
Kaneohe, HI 96744
Phone (808) 234-5353

Organizations & group practices 2

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": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1912627407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 ULUNIU ST STE 301",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342537",
            "telephone_number": "808-261-4321",
            "fax_number": "808-261-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 N ORLANDO AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892911",
            "telephone_number": "407-303-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 Uluniu St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Kailua",
            "state": "HI",
            "postal_code": "967342537",
            "country_code": "US",
            "telephone_number": "808-261-4321",
            "fax_number": "808-261-4320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45-035A Kaneohe Bay Drive",
            "address_purpose": "LOCATION",
            "city": "Kaneohe",
            "state": "HI",
            "postal_code": "96744",
            "country_code": "US",
            "telephone_number": "808-261-4321",
            "fax_number": "808-261-4320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "KOLBY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-02",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "39168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://fukujilumpt.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "45-035A Kaneohe Bay Drive",
            "city": "Kaneohe",
            "state": "HI",
            "country_code": "US",
            "postal_code": "96744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.adventhealth.com/sports-medicine-and-rehab/adventhealth-sports-med-and-rehab-central-florida/form/request-appointment",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Company Website",
            "address_1": "351 N Orlando Ave",
            "city": "Winter Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327892911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.