Individual provider Active NPI

Tysan Paaga, LMT

  • Massage Therapist
  • Kaneohe, HI
National Provider Identifier
1003318486
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
15565 Issued in HI
Practice address
46-012 Kamehameha Hwy Ste B1
Kaneohe, HI 96744-6701
Phone
(808) 235-2828
Fax
(808) 235-2828
NPI assigned
Mar 1, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 15565 HI Primary

Addresses

Primary practice location

46-012 Kamehameha Hwy Ste B1
Kaneohe, HI 96744-6701

Mailing address

45-265 William Henry Rd Apt H5
Kaneohe, HI 96744-3148
Phone (808) 387-2429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15565HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aukai Physical Therapy, Inc. PastSince Jan 1, 2003 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1003318486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-265 WILLIAM HENRY RD APT H5",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443148",
            "telephone_number": "808-387-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-012 KAMEHAMEHA HWY STE B1",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967446701",
            "telephone_number": "808-235-2828",
            "fax_number": "808-235-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAAGA",
        "first_name": "TYSAN",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "15565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.