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

MS. Kelly Ann Fumie Park, DPT

Individual provider Physical Therapist · NPI 1073686630

MS. Kelly Ann Fumie Park, DPT is a Physical Therapist in Private Practice in Honolulu, Hawaii. Qualified in 2003, 23 years ago. Practices with Park Physical Therapy LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
23
Licensed in
HI
In the registry since
2006
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

850 W Hind Dr Ste 104 And 108
Honolulu, HI 96821-1855
Phone: (808) 373-4787
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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 2475 (HI)

Record details

NPI number1073686630
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESJuly 9, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Park Physical Therapy Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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