Organization Active NPI

Tenisha Ruidas LLC

Doing business as Body Balance

  • Massage Therapist
  • Aiea, HI
National Provider Identifier
1083238240
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
TENISHA RUIDAS LLC
Doing business as
Body Balance
Practice address
99-1255 Waiua PL Unit E
Aiea, HI 96701-5620
Phone
(808) 633-6167
NPI assigned
Jun 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Tenisha K Ruidas, LMT
Title
Owner
Phone
(808) 633-6167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

99-1255 Waiua PL Unit E
Aiea, HI 96701-5620

Mailing address

PO Box 309
Aiea, HI 96701-0309

Other identifiers 1

IdentifierTypeStateIssuer
15385OtherHILICENSED MASSAGE THERAPIST

Other names 1

  • Body Balance Doing business as

National Provider Directory

National Provider Directory

Locations

99-1255 Waiua Pl
Unit E
Aiea, HI 96701
Phone (808) 633-6167

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1083238240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967010309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-1255 WAIUA PL UNIT E",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015620",
            "telephone_number": "808-633-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENISHA RUIDAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "RUIDAS",
        "authorized_official_first_name": "TENISHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-633-6167",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASSAGE THERAPIST",
            "identifier": "15385",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Balance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Body Balance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 28, 2022; 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.