Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaydan Carl Lazo Payumo

Individual provider Physical Therapist · NPI 1902758923

Jaydan Carl Lazo Payumo is a Physical Therapist in Private Practice in Kapolei, Hawaii. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Hawaii.

Years since qualifying
1
Licensed in
HI
In the registry since
2026

Practice location Address checks out

91-1027 Shangrila St Bldg 1867
Kapolei, HI 96707-2101
Phone: (808) 674-9595
Fax: (808) 674-9696
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (HI)

Record details

NPI number1902758923
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 11, 2026
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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