Individual provider Active NPI

Andrea Jo Flores, MT

  • Massage Therapist
  • Aiea, HI
National Provider Identifier
1083204085
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
15636 Issued in HI
Practice address
98-1005 Moanalua Rd SPC 235
Aiea, HI 96701-4707
Phone
(808) 488-8588
NPI assigned
Jan 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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 15636 HI Primary

Addresses

Primary practice location

98-1005 Moanalua Rd SPC 235
Aiea, HI 96701-4707

Mailing address

PO Box 283
Kunia, HI 96759-0220
Phone (719) 588-4495

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
15636HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Energy Healing & Massage LLC Massage Therapist CurrentSince Dec 7, 2025 Accepting new patients
Chiropractic Wellness Center PastSince Jan 24, 2021 Accepting new patients

Locations

98-1005 Moanalua Rd
Spc 235
Aiea, HI 96701
Phone (808) 488-8588

Organizations & group practices 2

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": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1083204085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 283",
            "city": "KUNIA",
            "state": "HI",
            "postal_code": "967590220",
            "telephone_number": "719-588-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD SPC 235",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014707",
            "telephone_number": "808-488-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "ANDREA",
        "middle_name": "JO",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "15636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.