Active NPI
Holcomb Physical Therapy Plus
- Physical Therapy Clinic/Center
- Honolulu, HI
National Provider Identifier
1073938155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT3062
- Legal business name
- HOLCOMB PHYSICAL THERAPY PLUS
- Practice address
- 4679 Kolohala St
Honolulu, HI 96816-5223 - Phone
- (808) 638-1855
- Fax
- (808) 356-1954
- NPI assigned
- Feb 26, 2014
- Last updated
- Feb 26, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Aisha Bornas Holcomb, PT
- Title
- Owner
- Phone
- (808) 638-1855
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT3062 | HI | Primary |
Addresses
Primary practice location
4679 Kolohala St
Honolulu, HI 96816-5223
Mailing address
4679 Kolohala St
Honolulu, HI 96816-5223
Phone (808) 638-1855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3660 Waialae Ave
Ste 205
Honolulu, HI 96816
Phone (702) 334-0178
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Honolulu, HI
- NPI 1245255751
-
- Physical Therapist
- Honolulu, HI
- NPI 1043497100
-
- Massage Therapist
- Honolulu, HI
- NPI 1922404508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393372800000",
"number": "1073938155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4679 KOLOHALA ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968165223",
"telephone_number": "808-638-1855",
"fax_number": "808-356-1954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4679 KOLOHALA ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968165223",
"telephone_number": "808-638-1855",
"fax_number": "808-356-1954"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLCOMB PHYSICAL THERAPY PLUS",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-26",
"last_updated": "2014-02-26",
"status": "A",
"authorized_official_last_name": "HOLCOMB",
"authorized_official_first_name": "AISHA",
"authorized_official_middle_name": "BORNAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "808-638-1855",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "HI",
"license": "PT3062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.