Individual provider Active NPI

Alexandra R Henry

  • Massage Therapist
  • Ewa Beach, HI
National Provider Identifier
1235072679
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAT-17306 Issued in HI
Practice address
91-1022 Mikohu St Apt 22U
Ewa Beach, HI 96706-3822
Phone
(916) 416-8753
NPI assigned
Apr 10, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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 MAT-17306 HI Primary

Addresses

Primary practice location

91-1022 Mikohu St Apt 22U
Ewa Beach, HI 96706-3822

Mailing address

91-1022 Mikohu St Apt 22U
Ewa Beach, HI 96706-3822
Phone (916) 416-8753

Other practice location 1

91-1123 Keaunui Dr Ste 223
Ewa Beach, HI 96706-6369
Phone (916) 416-8753

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
MAT-17306HIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1235072679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1022 MIKOHU ST APT 22U",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063822",
            "telephone_number": "916-416-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1022 MIKOHU ST APT 22U",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063822",
            "telephone_number": "916-416-8753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91-1123 Keaunui Dr Ste 223",
            "address_purpose": "LOCATION",
            "city": "Ewa Beach",
            "state": "HI",
            "postal_code": "967066369",
            "country_code": "US",
            "telephone_number": "916-416-8753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "ALEXANDRA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-17306",
            "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 Apr 10, 2026; 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.