Matthew Charles Galena, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

11372 Issued in HI

Practice address

480 Kenolio Rd
Kihei, HI 96753-7500

Phone

(808) 463-7734

NPI assigned

Jul 26, 2010

Last updated

Apr 15, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Matthew Charles Fratus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492214400000",
    "number": "1174836605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S KIHEI RD STE O-610",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967535220",
            "telephone_number": "808-463-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 KENOLIO RD",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537500",
            "telephone_number": "808-463-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALENA",
        "first_name": "MATTHEW",
        "middle_name": "CHARLES",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2017-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "11372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "FRATUS",
            "middle_name": "CHARLES",
            "credential": "MT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Massage Therapist in Kihei, HI
• Providers in Kihei, HI by specialty
• Massage Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2017; 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.