Lisa Mary Doreen Ortiz, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

6174 Issued in HI

Practice address

54-316 Kamehameha Hwy
Suite 7
Hauula, HI 96717-9539

Phone

(808) 293-5377

Fax

(808) 293-5390

NPI assigned

Aug 15, 2007

Last updated

Aug 15, 2007By 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

Practice roles

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.

• Ko Olauloa Health Center

  dba Ko'olauloa Community Health and Wellness Center, Hauula Medical

  • Federally Qualified Health Center (FQHC)
  • Hauula, HI
  • NPI 1063833655
  NPD (past)

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1225220189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1875",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967017875",
            "telephone_number": "808-306-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54-316 KAMEHAMEHA HWY",
            "address_2": "SUITE 7",
            "city": "HAUULA",
            "state": "HI",
            "postal_code": "967179539",
            "telephone_number": "808-293-5377",
            "fax_number": "808-293-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "LISA",
        "middle_name": "MARY DOREEN",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "6174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyatt J Massey, PSYD
• Rachael K Napoleon
• Oahu Senior Living, LLC (The Ponds at Punaluu)
• Oceanside at Punaluu, LLC
• Ohana Care Chiropractic LLC
• Peggy Pauni
• Kimberly Roper Pennington, P.T.
• Stacey Allan Perbera, LMT
• Amy Robertson Nielsen, DCN, CNS
• Ricardo Joseph Sauque, MFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.