HOLOMUA PHYSICAL THERAPY LLC
NPI 1578842787
Clinic/Center - Physical Therapy in Honolulu, HI
About Holomua Physical Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLOMUA PHYSICAL THERAPY LLC (NPI 1578842787) is a healthcare organization registered as a physical therapy in Honolulu, Hawaii and active in the NPI registry since August 2011. The organization lists Neil Katsumi Shimabukuro, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holomua Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Holomua Physical Therapy LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Holomua Physical Therapy LLC's NPI number?
The NPI number for Holomua Physical Therapy LLC is 1578842787. It was assigned to this organization in the NPPES registry on August 5, 2011.
Where is Holomua Physical Therapy LLC located?
Holomua Physical Therapy LLC is located at 200 N Vineyard Blvd Ste 151, Honolulu, HI 96817. The listed phone number is (808) 531-1122.
What is Holomua Physical Therapy LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Holomua Physical Therapy LLC enrolled in Medicare?
Yes. Holomua Physical Therapy LLC is registered in the Medicare PECOS enrollment system.
When is Holomua Physical Therapy LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Hawaii, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Holomua Physical Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Holomua Physical Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Holomua Physical Therapy LLC accept?
Health plans from HMSA list Holomua Physical Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Holomua Physical Therapy LLC was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Holomua Physical Therapy Llc · NPI 1578842787
Physical Therapy organization in Honolulu, Hawaii. Organization record, active in the CMS NPPES registry since August 5, 2011.
## Identity
- **NPI:** 1578842787 (Entity type: Organization)
- **Enumerated:** August 5, 2011
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Neil Shimabukuro, MEMBER
## Practice location
- **Address:** 200 N VINEYARD BLVD STE 151, Honolulu, HI 96817-3938
- **Phone:** (808) 531-1122 · **Fax:** (888) 727-7047
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Hawaii, Physical/Occupational Therapy Group in Private Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 4 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1578842787) · Data from the CMS NPPES public registry.