Organization Active NPI

Holcomb Physical Therapy Plus

  • Physical Therapy Clinic/Center
  • Honolulu, HI
National Provider Identifier
1073938155
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT3062 Issued in HI
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Aisha Bornas Holcomb, PTNPI 1245255751
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20140515001239 HI Part B Supplier - Clinic/Group Practice 6204059413 Receives reassigned benefits from 2 practitioners
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.