Active NPI
Komd Hawaii LLC
- Physical Therapy Clinic/Center
- Honolulu, HI
National Provider Identifier
1922582865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- KOMD HAWAII LLC
- Doing business as
- Knockout Movement Disorders Hawaii
- Practice address
- 55 S Judd St Apt 1004
Honolulu, HI 96817-2610 - Phone
- (808) 551-8648
- NPI assigned
- Sep 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin Fukunaga, DPT
- Title
- Physical Therapist/Manager
- Phone
- (808) 551-8648
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
55 S Judd St Apt 1004
Honolulu, HI 96817-2610
Mailing address
55 S Judd St Apt 1004
Honolulu, HI 96817-2610
Other names 1
- Knockout Movement Disorders Hawaii
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538438400000",
"number": "1922582865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 S JUDD ST APT 1004",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968172610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 S JUDD ST APT 1004",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968172610",
"telephone_number": "808-551-8648"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOMD HAWAII LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-17",
"last_updated": "2018-10-02",
"status": "A",
"authorized_official_last_name": "FUKUNAGA",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/MANAGER",
"authorized_official_telephone_number": "808-551-8648",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Knockout Movement Disorders Hawaii",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.