Individual provider Active NPI

Koji Ohashi, MASSAGE THERAPIST

  • Massage Therapist
  • Elk Grove, IL
National Provider Identifier
1184002297
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227.003507 Issued in IL
Practice address
901 Biesterfield Rd. Ste 211
Maria a. Castellese D.C., P.C.
Elk Grove, IL 60007
Phone
(847) 690-9492
Fax
(847) 357-9181
NPI assigned
May 8, 2015
Last updated
May 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 227.003507 IL Primary

Addresses

Primary practice location

901 Biesterfield Rd. Ste 211
Maria a. Castellese D.C., P.C.
Elk Grove, IL 60007

Mailing address

1319 Dunleer Dr.
Mundelein, IL 60060
Phone (224) 715-1107

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

LicenseStateTypeSpecialty
227.003507ILMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maria a Castellese D C P C PastSince Dec 6, 2005 Accepting new patients

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": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1184002297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 DUNLEER DR.",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "60060",
            "telephone_number": "224-715-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BIESTERFIELD RD. STE 211",
            "address_2": "MARIA A. CASTELLESE D.C., P.C.",
            "city": "ELK GROVE",
            "state": "IL",
            "postal_code": "60007",
            "telephone_number": "847-690-9492",
            "fax_number": "847-357-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHASHI",
        "first_name": "KOJI",
        "name_prefix": "Mr.",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.003507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.