KOMD HAWAII LLC (NPI# 1922582865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922582865 |
| Entity Type | Organization |
| Organization Name | KOMD HAWAII LLC |
| Other Organization Name | KNOCKOUT MOVEMENT DISORDERS HAWAII |
| Practice Address |
55 S Judd St Apt 1004 Honolulu HI 96817-2610 |
| Practice Telephone | 8085518648 |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-10-02 |
| Authorized Official Name | JUSTIN FUKUNAGA (PHYSICAL THERAPIST/MANAGER) |
| Authorized Official Telephone | 8085518648 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Knockout Movement Disorders Hawaii | Doing Business As Name - Organization |
| Street Address |
55 S JUDD ST APT 1004 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96817-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810676 | Tracey Lorraine Ramelb Mayola | Nurse's Aide | 36 Bates St., Unit A1, Honolulu, HI 96817 | 2020-08-06 |
| 1710503032 | Ray & Cee Inc | Counselor | Heavenly Counsel, 985 Dillingham Blvd Suite 100, Honolulu, HI 96817 | 2020-06-23 |
| 1982238093 | Healthy Mothers Healthy Babies Coalition of Hawaii | Public Health or Welfare | 245 N Kukui St #102a, Kukui Center, Honolulu, HI 96817 | 2020-02-27 |
| 1770042160 | Garza Wellness Care Center, LLC | Chiropractor | 1744 Liliha St. Suite #201, Honolulu, HI 96817 | 2019-03-15 |
| 1932688165 | Behavior Analysis and Family Therapy Center of Hawaii | Marriage & Family Therapist | 200 North Vineyard Blvd, Suite B 270, Honolulu, HI 96817 | 2018-08-08 |
| 1013409382 | Marleina Dee Capua | Behavior Technician | 200 N Vineyard Blvd # A600, Honolulu, HI 96817 | 2018-06-03 |
| 1811496623 | Kimberly Jee Ying Wun | Nurse Practitioner | 860 Iwilei Road, Honolulu, HI 96817 | 2018-02-07 |
| 1144737925 | Cancer Center of Hawaii, LLC | Radiology | 2226 Liliha St, #b2, Honolulu, HI 96817 | 2018-01-03 |
| 1700315355 | Thomas Bishop | Behavioral Analyst | 200 N. Vineyard Blvd. Suite #153, Honolulu, HI 96817 | 2017-06-07 |
| 1760843890 | Kanna Dokgo | Nurse Practitioner | 321 Kuakini St., Honolulu, HI 96817 | 2016-03-17 |
| Find all providers in zip 96817 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962660 | Park Physical Therapy, LLC | Clinic/Center | 850 W Hind Dr Ste 108, Honolulu, HI 96821-1845 | 2019-10-05 |
| 1548819790 | Live Pain Free Pt | Clinic/Center | 55 S Judd St Apt 808, Honolulu, HI 96817-2608 | 2019-09-10 |
| 1205377868 | Bristol Rehab LLC | Clinic/Center | 2439 Kapiolani Blvd Apt 601, Honolulu, HI 96826-4657 | 2017-03-16 |
| 1093088148 | Ho'ohele Physical Therapy Inc | Clinic/Center | 1451 S. King St., Suite 508, Honolulu, HI 96814 | 2012-02-21 |
| 1578842787 | Holomua Physical Therapy LLC | Clinic/Center | 1744 Liliha St Ste 301, Honolulu, HI 96817-3115 | 2011-08-05 |
| 1396980660 | Wendy Weiss Moore | Clinic/Center | 33 Akilolo St, Honolulu, HI 96821-1501 | 2008-12-15 |
| 1962656553 | Fit Therapy LLC | Clinic/Center | 615 Hind Iuka Dr Apt C, Honolulu, HI 96821-1773 | 2008-11-09 |
| 1760656326 | Yee & Isa Psyicaltherapy LLC | Clinic/Center | 1010 S King St Ste 205, Honolulu, HI 96814-1703 | 2008-04-15 |
| 1063604353 | Oahu Therapy Clinic LLC | Clinic/Center | 1314 S King St Ste 319, Honolulu, HI 96814-2004 | 2007-08-10 |
| 1467587832 | Ohc of Hawaii, Inc. | Clinic/Center | 545 Ohohia Street, Honolulu, HI 96819 | 2007-02-23 |
| Find all providers in HONOLULU | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.