Active NPI
Aisha Bornas Holcomb, PT
- Physical Therapist
- Honolulu, HI
National Provider Identifier
1245255751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3062
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0446652 | Medicaid | TN | |
| 3647004 | Medicaid | TN |
Other names 1
- Aisha Lowella Bornas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT3062 | HI | MD | Physical Therapist |
| PT3872 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holcomb Physical Therapy Plus | Current | 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.
-
- Physical Therapy Clinic/Center
- Honolulu, HI
- NPI 1073938155
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.