Active NPI
Tammy L Courtney-Arciaga, LMT
- Massage Therapist
- Kapolei, HI
National Provider Identifier
1124470810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAT 6553
- Practice address
- 338 Kamokila Blvd
#201
Kapolei, HI 96707-2055 - Phone
- (808) 674-9998
- Fax
- (808) 674-9877
- NPI assigned
- Jul 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MAT 6553 | HI | Primary |
Addresses
Primary practice location
338 Kamokila Blvd
#201
Kapolei, HI 96707-2055
Mailing address
338 Kamokila Blvd
#201
Kapolei, HI 96707-2055
Phone (808) 674-9998
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
| License | State | Type | Specialty |
|---|---|---|---|
| MAT 6553 | HI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebound Hawaii LLC | Massage Therapist | Past | Accepting new patients |
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": "1467763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467763200000",
"number": "1124470810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 KAMOKILA BLVD",
"address_2": "#201",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072055",
"telephone_number": "808-674-9998",
"fax_number": "808-674-9877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 KAMOKILA BLVD",
"address_2": "#201",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072055",
"telephone_number": "808-674-9998",
"fax_number": "808-674-9877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURTNEY-ARCIAGA",
"first_name": "TAMMY",
"middle_name": "L",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-06",
"last_updated": "2016-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "MAT 6553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kapolei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.