Individual provider Active NPI

Pailin Saimueng Jacobs

  • Massage Therapist
  • Wahiawa, HI
National Provider Identifier
1063225449
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAT-15504 Issued in HI
Practice address
668 California Ave
Wahiawa, HI 96786-1934
Phone
(808) 699-1017
NPI assigned
Jan 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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 MAT-15504 HI Primary

Addresses

Primary practice location

668 California Ave
Wahiawa, HI 96786-1934

Mailing address

1188 Bishop St Ste 1609
Honolulu, HI 96813-3306
Phone (808) 445-5382

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
MAT-15504HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Massage and Spa by 'D' Heart LLC Massage Therapist CurrentSince Feb 2, 2025 Accepting new patients

Locations

668 California Ave
Wahiawa, HI 96786
Phone (808) 439-3791

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": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1063225449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 1609",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133306",
            "telephone_number": "808-445-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 CALIFORNIA AVE",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967861934",
            "telephone_number": "808-699-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "PAILIN",
        "middle_name": "SAIMUENG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-15504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wahiawa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.