Active NPI
Edward Macintyre Joseph Jr., LMT
- Mechanotherapist
- Honolulu, HI
National Provider Identifier
1285173013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 3567
- Practice address
- 600 Queen St
Apt.2205
Honolulu, HI 96813-5115 - Phone
- (808) 936-0634
- NPI assigned
- Feb 13, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 3567 | HI | Primary |
Addresses
Primary practice location
600 Queen St
Apt.2205
Honolulu, HI 96813-5115
Mailing address
1702 Kewalo St
Apt. 1102
Honolulu, HI 96822-3081
Phone (808) 936-0634
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 |
|---|---|---|---|
| 3567 | HI | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486944000000",
"number": "1285173013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 KEWALO ST",
"address_2": "APT. 1102",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968223081",
"telephone_number": "808-936-0634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 QUEEN ST",
"address_2": "APT.2205",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968135115",
"telephone_number": "808-936-0634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "EDWARD",
"middle_name": "MACINTYRE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-13",
"last_updated": "2017-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "HI",
"license": "3567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.