Active NPI
James Eun Park, MASSAGE THERAPIST
- Massage Therapist
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAT6448
- Practice address
- 7192 Kalanianaole Hwy Ste E206
Honolulu, HI 96825-1849 - Phone
- (808) 797-8094
- NPI assigned
- Jan 30, 2024
- Last updated
- Jan 30, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | MAT6448 | HI | Primary |
Addresses
Primary practice location
7192 Kalanianaole Hwy Ste E206
Honolulu, HI 96825-1849
Mailing address
2256 Seaview Ave # 2130
Honolulu, HI 96822-2484
Phone (808) 342-1056
Other practice location 1
4429 Malaai St Ste 101
Honolulu, HI 96818-3158
Phone (808) 321-7135
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 |
|---|---|---|---|
| MAT6448 | HI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cassandra Peterson, DC, LLC | Current | Accepting new patients |
Locations
7192 Kalanianaole Hwy
Ste E206
Honolulu, HI 96825
Phone (808) 797-8094
4429 Malaai St
Ste 101
Honolulu, HI 96818
Phone (415) 637-9781
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1124880521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2256 SEAVIEW AVE # 2130",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968222484",
"telephone_number": "808-342-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7192 KALANIANAOLE HWY STE E206",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968251849",
"telephone_number": "808-797-8094"
}
],
"practiceLocations": [
{
"address_1": "4429 Malaai St Ste 101",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968183158",
"country_code": "US",
"telephone_number": "808-321-7135",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARK",
"first_name": "JAMES",
"middle_name": "EUN",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-30",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "MAT6448",
"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 Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.