Organization Active NPI

Komd Hawaii LLC

  • Physical Therapy Clinic/Center
  • Honolulu, HI
National Provider Identifier
1922582865
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Oct 2, 2018

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.