Tammy N Fondren, MAT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

15985 Issued in HI

Practice address

338 Kamokila Blvd Ste 201
Kapolei, HI 96707-2055

Phone

(808) 674-9998

NPI assigned

Oct 29, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Rebound Hawaii LLC

  • Physical Therapy Clinic/Center
  • Kapolei, HI
  • NPI 1215361936

  Massage Therapist

  NPD

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1013517895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 KAMOKILA BLVD STE 201",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072055",
            "telephone_number": "808-667-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 KAMOKILA BLVD STE 201",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072055",
            "telephone_number": "808-674-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONDREN",
        "first_name": "TAMMY",
        "middle_name": "N",
        "credential": "MAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "15985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne J Figueira, RN, IBCLC
• First Medical Group, Inc.
• Theresa Lynn Ray Flament, M.D.
• Taylor Flores
• Lynne E Foltz, MSPT
• Dana Lynn Fong-Reyes, DPT, CSCS, TPI CGFI
• Carol Y. Fong, MD
• Layse Fonseca
• Foodland Lab #43
• Foodland Super Market Limited

• Massage Therapist in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Massage Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.