Individual provider Active NPI

Rattikorn Imada, LMT

  • Massage Therapist
  • Honolulu, HI
National Provider Identifier
1093694317
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAT-18109 Issued in HI
Practice address
1357 Kapiolani Blvd Ste 800
Honolulu, HI 96814-4536
Phone
(808) 523-9043
Fax
(808) 526-0268
NPI assigned
Aug 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 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-18109 HI Primary

Addresses

Primary practice location

1357 Kapiolani Blvd Ste 800
Honolulu, HI 96814-4536

Mailing address

1015 Noble LN
Honolulu, HI 96817-2830
Phone (808) 294-0897

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-18109HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chart Rehabilitation of Hawaii Inc CurrentSince Sep 3, 2025 Accepting new patients
Chart Rehabilitation of Hawaii Inc PastSince Sep 3, 2025 Accepting new patients

Locations

1357 Kapiolani Blvd
Ste 800
Honolulu, HI 96814
Phone (808) 523-9043

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": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1093694317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 NOBLE LN",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172830",
            "telephone_number": "808-294-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 KAPIOLANI BLVD STE 800",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144536",
            "telephone_number": "808-523-9043",
            "fax_number": "808-526-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMADA",
        "first_name": "RATTIKORN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-18109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

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