Ayae T Tueller

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

58257 Issued in HI

Practice address

3459 Lawailoa LN
Koloa, HI 96756-9646

Phone

(808) 276-3435

NPI assigned

Jan 14, 2026

Last updated

Jan 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1768348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1124986393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3459 LAWAILOA LN",
            "city": "KOLOA",
            "state": "HI",
            "postal_code": "967569646",
            "telephone_number": "808-276-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 LAWAILOA LN",
            "city": "KOLOA",
            "state": "HI",
            "postal_code": "967569646",
            "telephone_number": "808-276-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUELLER",
        "first_name": "AYAE",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "HI",
            "license": "58257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Recreation Therapist in Koloa, HI
• Providers in Koloa, HI by specialty
• Recreation Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.