Kristen E.W. Shimabukuro, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

T190605003 Issued in HI

Practice address

1401 S Beretania St Ste 550
Honolulu, HI 96814-1880

Phone

(808) 381-8947

Fax

(808) 591-2245

NPI assigned

Jul 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Miami, LM Miller School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jaco Rehab Honolulu Limited PartnershipGroup PAC ID 8527495092, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jaco Rehab Honolulu Limited Partnership

  • Physical Therapist
  • Honolulu, HI
  • NPI 1265073878
  Medicare reassignment Care Compare group NPD
• Jaco Rehab Kapolei Limited Partnership

  • Physical Therapist
  • Kapolei, HI
  • NPI 1437790052
  Medicare reassignment NPD
• Jaco Rehab Mililani Limited Partnership

  • Physical Therapist
  • Mililani, HI
  • NPI 1700427325
  Medicare reassignment NPD
• Jaco Rehab Waikele Limited Partnership

  • Physical Therapist
  • Waipahu, HI
  • NPI 1629619234
  Medicare reassignment NPD

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

{
    "created_epoch": "1564185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564185600000",
    "number": "1831743996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 550",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141880",
            "telephone_number": "808-381-8947",
            "fax_number": "808-591-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 550",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141880",
            "telephone_number": "808-381-8947",
            "fax_number": "808-591-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMABUKURO",
        "first_name": "KRISTEN",
        "middle_name": "E.W.",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-27",
        "last_updated": "2019-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "T190605003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH ALLIANCE",
            "identifier": "53213",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@jacorehab.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HONOLULU",
            "address_1": "1401 S Beretania St Ste 550",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968141880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Len Nahuina Shimabuku
• Gina Shimabukuro-Araki
• Catarina Isabel Lopes Shimabukuro
• Kelly A. Shimabukuro, MD
• Kristen Shimabukuro, M.S.
• Kristin Kimiko Shimabukuro, O.D.
• Neil Katsumi Shimabukuro, P.T.
• Scott Ken Shimabukuro, PH.D.
• Brandi Shimada
• Jo Shimada, LCSW

• Physical Therapist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2019; 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.