KOMD HAWAII LLC


Address: 55 S Judd St Apt 1004, Honolulu, HI 96817-2610
Phone: 8085518648

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Knockout Movement Disorders Hawaii Doing Business As Name - Organization

Office Location

Street Address 55 S JUDD ST APT 1004
City HONOLULU
State HI
Zip Code 96817-2610

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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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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
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Competitor

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City HONOLULU
Zip Code 96817

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Dataset Information

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.

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