Individual provider Active NPI

Catarina Isabel Lopes Shimabukuro

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1811347206
Registry record updated Jun 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-4198 Issued in HI
Practice address
826 S King St
Honolulu, HI 96813-3009
Phone
(808) 523-9043
Fax
(808) 526-0673
NPI assigned
Jun 15, 2016
Last updated
Jun 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2016

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-4198 HI Primary

Addresses

Primary practice location

826 S King St
Honolulu, HI 96813-3009

Mailing address

826 S King St
Honolulu, HI 96813-3009
Phone (808) 523-9043

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160808000007 HI Practitioner - Physical Therapist in Private Practice 9032403571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chart Rehabilitation of Hawaii IncGroup PAC ID 9436154499, 14 clinicians

Practice addresses (Care Compare)

94 -810 Moloalo St
Suite 220
Waipahu, HI 96797-3355
Phone (808) 671-1711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chart Rehabilitation of Hawaii Inc Physical Therapist CurrentSince Jun 28, 2016 Accepting new patients
Chart Rehabilitation of Hawaii Inc Physical Therapist Past Accepting new patients

Locations

1357 Kapiolani Blvd
Ste 800
Honolulu, HI 96814
Phone (808) 523-9043

826 S King St
Honolulu, HI 96813
Phone (808) 523-9043

94-810 Moloalo St
Ste 220
Waipahu, HI 96797
Phone (808) 671-1711

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": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466208000000",
    "number": "1811347206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133009",
            "telephone_number": "808-523-9043",
            "fax_number": "808-526-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133009",
            "telephone_number": "808-523-9043",
            "fax_number": "808-526-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMABUKURO",
        "first_name": "CATARINA ISABEL",
        "middle_name": "LOPES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-4198",
            "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 Jun 18, 2016; 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.