Active NPI
Timothy Amor
- Massage Therapist
- Ewa Beach, HI
National Provider Identifier
1164031498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAT-16389
- Practice address
- 91-135 Wailohia PL
Ewa Beach, HI 96706-1854 - Phone
- (808) 931-9757
- NPI assigned
- Jul 22, 2020
- Last updated
- Jul 22, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA-179 | HI | |
| Massage Therapist | 225700000X | MAT-16389 | HI | Primary |
Addresses
Primary practice location
91-135 Wailohia PL
Ewa Beach, HI 96706-1854
Mailing address
91-135 Wailohia PL
Ewa Beach, HI 96706-1854
Phone (808) 931-9757
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 |
|---|---|---|---|
| OTA-179 | HI | MD | Occupational Therapy Assistant |
| MAT-16389 | HI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1164031498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-135 WAILOHIA PL",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967061854",
"telephone_number": "808-931-9757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91-135 WAILOHIA PL",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967061854",
"telephone_number": "808-931-9757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMOR",
"first_name": "TIMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-22",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "HI",
"license": "OTA-179",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "MAT-16389",
"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 Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.