Individual provider Active NPI

Shaun Kunimura, PT

  • Physical Therapist
  • Kaneohe, HI
National Provider Identifier
1942309448
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2541 Issued in HI
Practice address
46-005 Kawa St Ste 211
Kaneohe, HI 96744-3838
Phone
(808) 235-6818
Fax
(808) 200-4584
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 2541 HI Primary

Addresses

Primary practice location

46-005 Kawa St Ste 211
Kaneohe, HI 96744-3838

Mailing address

46-005 Kawa St Ste 211
Kaneohe, HI 96744-3838
Phone (808) 235-6818

Other practice location 1

45-461 Pua Inia St
Kaneohe, HI 96744-2937
Phone (808) 235-5398

Other identifiers 1

IdentifierTypeStateIssuer
572348MedicaidHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051006000905 HI Practitioner - Physical Therapist in Private Practice 7810912037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Physio LLCGroup PAC ID 1951547645, 2 clinicians

Practice addresses (Care Compare)

46 -005 Kawa St
Suite 211
Kaneohe, HI 96744-3838
Phone (808) 551-7730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fukuji & Lum Physical Therapy Associates Inc. Physical Therapist CurrentSince Sep 9, 2005 Accepting new patients
Scott J. Miscovich MD, LLC CurrentSince May 9, 2010 Accepting new patients
Island Physio LLC CurrentSince Feb 5, 2013 Accepting new patients
Portner Orthopedic Rehabilitation Incorporated CurrentSince Sep 8, 2024 Accepting new patients
Total Fitness Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

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

45-1144 Kamehameha Hwy
Ste 500
Kaneohe, HI 96744
Phone (808) 247-7596

45-461 Pua Inia St
Kaneohe, HI 96744
Phone (808) 235-5398

46-005 Kawa St
Ste 211
Kaneohe, HI 96744
Phone (808) 235-6818

46-001 Kamehameha Hwy
Ste 109
Kaneohe, HI 96744
Phone (808) 247-7596

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942309448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-005 KAWA ST STE 211",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443838",
            "telephone_number": "808-235-6818",
            "fax_number": "808-200-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-005 KAWA ST STE 211",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443838",
            "telephone_number": "808-235-6818",
            "fax_number": "808-200-4584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45-461 Pua Inia St",
            "address_purpose": "LOCATION",
            "city": "Kaneohe",
            "state": "HI",
            "postal_code": "967442937",
            "country_code": "US",
            "telephone_number": "808-235-5398",
            "fax_number": "808-235-6359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNIMURA",
        "first_name": "SHAUN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "572348",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.