Active NPI
Tawnia Weckwerth, LMT
- Mechanotherapist
- Ewa Beach, HI
National Provider Identifier
1154722726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MAT14419
- Practice address
- 91-1160 Aawa Dr
Ewa Beach, HI 96706-3904 - Phone
- (808) 298-6525
- NPI assigned
- Sep 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA60486689 | WA | |
| Mechanotherapist | 172M00000X | MAT14419 | HI | Primary |
Addresses
Primary practice location
91-1160 Aawa Dr
Ewa Beach, HI 96706-3904
Mailing address
91-1160 Aawa Dr
Ewa Beach, HI 96706-3904
Phone (808) 298-6525
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 |
|---|---|---|---|
| MAT14419 | HI | MD | Mechanotherapist |
| MA60486689 | WA | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480636800000",
"number": "1154722726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-1160 AAWA DR",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967063904",
"telephone_number": "808-298-6525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91-1160 AAWA DR",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967063904",
"telephone_number": "808-298-6525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WECKWERTH",
"first_name": "TAWNIA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-15",
"last_updated": "2016-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "WA",
"license": "MA60486689",
"primary": false
},
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "HI",
"license": "MAT14419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ewa Beach, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.