Active NPI
Joann Head, LMT
- Massage Therapist
- Mililani, HI
National Provider Identifier
1346874013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAT-15373
- Practice address
- 95-720 Lanikuhana Ave Ste 140
Mililani, HI 96789-2986 - Phone
- (808) 623-6244
- Fax
- (808) 623-6414
- NPI assigned
- Mar 2, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MAT-15373 | HI | Primary |
Addresses
Primary practice location
95-720 Lanikuhana Ave Ste 140
Mililani, HI 96789-2986
Mailing address
95-720 Lanikuhana Ave Ste 140
Mililani, HI 96789-2986
Phone (808) 623-6244
Other names 1
- Joann Head
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | N/A | Direct |
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 |
|---|---|---|---|
| MAT-15373 | HI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mililani Physical Therapy LLC | Current | Accepting new patients |
Locations
95-720 Lanikuhana Ave
Ste 140
Mililani, HI 96789
Phone (808) 623-6244
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 and National Provider Directory roles.
-
- Physical Therapist
- Mililani, HI
- NPI 1902831498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1346874013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95-720 LANIKUHANA AVE STE 140",
"city": "MILILANI",
"state": "HI",
"postal_code": "967892986",
"telephone_number": "808-623-6244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95-720 LANIKUHANA AVE STE 140",
"city": "MILILANI",
"state": "HI",
"postal_code": "967892986",
"telephone_number": "808-623-6244",
"fax_number": "808-623-6414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAD",
"first_name": "JOANN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-02",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "MAT-15373",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "N/A",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "95-720 Lanikuhana Ave Ste 140",
"city": "Mililani",
"state": "HI",
"country_code": "US",
"postal_code": "967892986",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JOANN",
"last_name": "HEAD",
"credential": "LMT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Mililani, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.