Individual provider Active NPI

Melanie Shiraki

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1639807712
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-5511 Issued in HI
Practice address
863 Halekauwila St
Honolulu, HI 96813-5325
Phone
(808) 597-1555
NPI assigned
Aug 8, 2022
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-5511 HI Primary

Addresses

Primary practice location

863 Halekauwila St
Honolulu, HI 96813-5325

Mailing address

751 Kealahou St
Honolulu, HI 96825-2904
Phone (808) 228-5405

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221008000273 HI Practitioner - Physical Therapist in Private Practice 1153707526 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Enphysio LLC Physical Therapist CurrentSince Aug 23, 2024 Accepting new patients
Action Rehab Inc Physical Therapist CurrentSince Sep 16, 2022 Accepting new patients

Locations

863 Halekauwila St
Honolulu, HI 96813
Phone (808) 597-1555

863 Halekauwila St
Ste 1
Honolulu, HI 96813
Phone (808) 597-1555

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1639807712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 KEALAHOU ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968252904",
            "telephone_number": "808-228-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 HALEKAUWILA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135325",
            "telephone_number": "808-597-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRAKI",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-5511",
            "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 Aug 8, 2022; 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.