Holomua Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1941 Issued in HI

Legal business name

HOLOMUA PHYSICAL THERAPY LLC

Practice address

200 N Vineyard Blvd Ste 151
Honolulu, HI 96817-3938

Phone

(808) 531-1122

Fax

(888) 727-7047

NPI assigned

Aug 5, 2011

Organization subpart

No

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

Authorized official

Name

Neil Katsumi Shimabukuro, PTNPI 1134268246

Title

Member

Phone

(808) 531-1122

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neil Katsumi Shimabukuro, P.T.

  • Physical Therapist
  • Honolulu, HI
  • NPI 1134268246
  Medicare reassignment Care Compare group NPD Authorized official
• Charmaine Mamaril

  • Physical Therapist
  • Honolulu, HI
  • NPI 1144476904
  Medicare reassignment Care Compare group NPD
• Tyler Mikami

  • Physical Therapist
  • Kaneohe, HI
  • NPI 1184398869
  Medicare reassignment Care Compare group NPD
• Ericka Saito, DPT

  • Physical Therapist
  • Honolulu, HI
  • NPI 1851230866
  Medicare reassignment Care Compare group NPD
• Bennett A. Zazzera, P.T.

  • Physical Therapist
  • Honolulu, HI
  • NPI 1437558038
  Medicare reassignment Care Compare group NPD
• Julie Enomoto, DPT

  • Physical Therapist
  • Honolulu, HI
  • NPI 1255460580
  Medicare reassignment Care Compare group
• Stephanie Marie Armstrong, PT

  • Physical Therapy Clinic/Center
  • Honolulu, HI
  • NPI 1548072184
  Medicare reassignment NPD

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1578842787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N VINEYARD BLVD STE 151",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173938",
            "telephone_number": "808-531-1122",
            "fax_number": "888-727-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N VINEYARD BLVD STE 151",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173938",
            "telephone_number": "808-531-1122",
            "fax_number": "888-727-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLOMUA PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "SHIMABUKURO",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "KATSUMI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-531-1122",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "HI",
            "license": "1941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Holm-Kennedy, DO
• Elizabeth Denie Holmes, MSN, RN
• Stephen M Holmes, MD
• Timothy A Holmes, DO
• Kanoelani Holomalia, MS, BCBA, LBA
• Troy E Holser, CRNA
• Janine Holstein
• Peter David Holt, MD
• Timothy Mark Holter, RPH
• Karl A. Holzinger, M.D.

• Physical Therapy Clinic/Center in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Physical Therapy Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.