Individual provider Active NPI

Holly Horikawa, PT, DPT, CLT

  • Physical Therapist
  • Fountain Valley, CA
National Provider Identifier
1982902417
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32071 Issued in CA
Practice address
18384 Brookhurst St
Fountain Valley, CA 92708-6704
Phone
(714) 963-3322
Fax
(714) 963-3323
NPI assigned
Mar 8, 2011
Last updated
Jun 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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 32071 CA Primary

Addresses

Primary practice location

18384 Brookhurst St
Fountain Valley, CA 92708-6704

Mailing address

18384 Brookhurst St
Fountain Valley, CA 92708-6704
Phone (714) 963-3322

Other identifiers 1

IdentifierTypeStateIssuer
PT32071OtherCAPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110915000645 CA Practitioner - Physical Therapist in Private Practice 9335310770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lokahi Physical Therapy and Wellness, IncGroup PAC ID 0749429017, 3 clinicians

Practice addresses (Care Compare)

18821 Delaware St
Suite 104
Huntington Beach, CA 92648-1935
Phone (714) 963-3322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32071CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lokahi Physical Therapy & Wellness, Inc. Physical Therapist CurrentSince Apr 16, 2013 Accepting new patients

Locations

18384 Brookhurst St
Fountain Valley, CA 92708
Phone (714) 963-3322

18821 Delaware St
Ste 104
Huntington Beach, CA 92648
Phone (714) 596-6690

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": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1982902417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18384 BROOKHURST ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086704",
            "telephone_number": "714-963-3322",
            "fax_number": "714-963-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18384 BROOKHURST ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086704",
            "telephone_number": "714-963-3322",
            "fax_number": "714-963-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORIKAWA",
        "first_name": "HOLLY",
        "credential": "PT, DPT, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "32071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT32071",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.