{
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MAKAI MOBILE REHAB, LLC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"FirstLineMailingAddress": "7114 NIUMALU LOOP",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HONOLULU",
"MailingAddressStateName": "HI",
"MailingAddressPostalCode": "96825-1635",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "808-783-9320",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "7114 NIUMALU LOOP",
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"PracticeLocationAddressCityName": "HONOLULU",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "808-783-9320",
"PracticeLocationAddressFaxNumber": "808-396-5581",
"EnumerationDate": "06/29/2009",
"LastUpdateDate": "09/05/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DACUMOS",
"AuthorizedOfficialFirstName": "JASON",
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"AuthorizedOfficialCredential": "PT, MPT, OCS",
"AuthorizedOfficialTelephoneNumber": "808-783-9320",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}