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

Leda Jellum, DPT

Individual provider Physical Therapist · NPI 1346768876

Leda Jellum, DPT is a Physical Therapist in Private Practice in Wailuku, Hawaii. Qualified in 2017, 9 years ago. Practices with Kaiser Foundation Health Plan Inc, a 110-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
9
Licensed in
HI
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

75 Maui Lani Elua Pkwy
Wailuku, HI 96793
Phone: (808) 243-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4460 (HI)

Record details

NPI number1346768876
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedSeptember 5, 2017
Last updated in NPPESMarch 18, 2021
Certification dateOctober 15, 2020
Mailing address155 Mokuahi St, Makawao, HI 96768-8963

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Kaiser Foundation Health Plan Inc — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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