Individual provider Active NPI

Gina Shimabukuro-Araki

  • Occupational Therapist
  • Honolulu, HI
National Provider Identifier
1881113165
Registry record updated Sep 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-88 Issued in HI
Practice address
3558 Woodlawn Dr Apt a
Honolulu, HI 96822-1494
Phone
(808) 554-0611
NPI assigned
Sep 18, 2017
Last updated
Sep 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-88 HI Primary

Addresses

Primary practice location

3558 Woodlawn Dr Apt a
Honolulu, HI 96822-1494

Mailing address

1581 Hoolaulea St
Pearl City, HI 96782-2143
Phone (808) 600-5583

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171011003246 HI Practitioner - Occupational Therapist in Private Practice 5496020703 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT-88HIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ptworks, LLC CurrentSince Oct 2, 2017 Accepting new patients

Locations

91-1121 Keaunui Dr
Ste 108155
Ewa Beach, HI 96706

Organizations & group practices 1

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": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505692800000",
    "number": "1881113165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 HOOLAULEA ST",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822143",
            "telephone_number": "808-600-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3558 WOODLAWN DR APT A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221494",
            "telephone_number": "808-554-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMABUKURO-ARAKI",
        "first_name": "GINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2017-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "HI",
            "license": "OT-88",
            "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 Sep 18, 2017; 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.