Organization Active NPI

Pakolea LLC

  • Rehabilitation Clinic/Center
  • Hilo, HI
National Provider Identifier
1629309331
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
PT-3052 Issued in HI
Legal business name
PAKOLEA LLC
Practice address
215-C Railroad Ave
Bays 11-14
Hilo, HI 96720-2990
Phone
(808) 935-5255
Fax
(808) 961-9044
NPI assigned
Jan 20, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Shauna Ka'Iulani Russell, DPTNPI 1841419025
Title
Owner
Phone
(808) 935-5255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners 10

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100217000424 HI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6901940709 Receives reassigned benefits from 6 practitioners
Practice locations: Hilo, HI

National Provider Directory

National Provider Directory
Tax ID family
Pakolea3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

215 Railroad Ave
Ste C
Hilo, HI 96720

215 Railroad Ave
#1114
Hilo, HI 96720
Phone (808) 935-5255

740 Kilauea Ave
Hilo, HI 96720
Phone (808) 333-3420

194 Kilauea Ave
Apt 102
Hilo, HI 96720
Phone (808) 935-5255

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT-3052 HI
Rehabilitation Clinic/Center 261QR0400X PT-3052 HI Primary

Addresses

NPPES NPI Registry

Primary practice location

215-C Railroad Ave
Bays 11-14
Hilo, HI 96720-2990

Mailing address

PO Box 6783
Hilo, HI 96720
Phone (808) 935-5255

Other names 1

NPPES NPI Registry
  • Big Island Physical Therapy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2026.

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1629309331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6783",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-935-5255",
            "fax_number": "808-961-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215-C RAILROAD AVE",
            "address_2": "BAYS 11-14",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202990",
            "telephone_number": "808-935-5255",
            "fax_number": "808-961-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAKOLEA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "KA'IULANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-935-5255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-3052",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "HI",
            "license": "PT-3052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Island Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Big Island Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.