Individual provider Active NPI

Aisha Bornas Holcomb, PT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1245255751
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3062 Issued in HI
Practice address
4679 Kolohala St
Honolulu, HI 96816-5223
Phone
(808) 638-1855
Fax
(808) 356-1954
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT3872 TN
Physical Therapist 225100000X 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

Other identifiers 2

IdentifierTypeStateIssuer
0446652MedicaidTN
3647004MedicaidTN

Other names 1

  • Aisha Lowella Bornas Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100224000686 HI Practitioner - Physical Therapist in Private Practice 0749274009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holcomb Physical Therapy PlusGroup PAC ID 6204059413, 2 clinicians

Practice addresses (Care Compare)

3660 Waialae Ave
Suite 205
Honolulu, HI 96816-3258
Phone (808) 732-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT3062HIMDPhysical Therapist
PT3872TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holcomb Physical Therapy Plus CurrentSince Feb 26, 2014 Accepting new patients

Locations

3660 Waialae Ave
Ste 205
Honolulu, HI 96816
Phone (702) 334-0178

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1245255751",
    "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": {
        "last_name": "HOLCOMB",
        "first_name": "AISHA",
        "middle_name": "BORNAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT3872",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT3062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446652",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3647004",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AISHA",
            "last_name": "BORNAS",
            "middle_name": "LOWELLA",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.