Individual provider Active NPI

Roxanne Reiko la'Akea Young, LMT, BCTMB, MBA

  • Massage Therapist
  • Honolulu, HI
National Provider Identifier
1376611707
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAT 8096 Issued in HI
Practice address
1122 Wilder Ave Apt 105
Honolulu, HI 96822-2751
Phone
(808) 630-6552
NPI assigned
Dec 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MAT 8096 HI Primary

Addresses

Primary practice location

1122 Wilder Ave Apt 105
Honolulu, HI 96822-2751

Mailing address

PO Box 23174
Honolulu, HI 96823-3174
Phone (808) 630-6552

Other names 1

  • Ms. Roxanne R.L.Y. Schneider Former name

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
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
MAT 8096HIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1376611707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23174",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968233174",
            "telephone_number": "808-630-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 WILDER AVE APT 105",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968222751",
            "telephone_number": "808-630-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ROXANNE",
        "middle_name": "REIKO LA'AKEA",
        "name_prefix": "Ms.",
        "credential": "LMT, BCTMB, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-02",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT 8096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANNE",
            "last_name": "SCHNEIDER",
            "middle_name": "R.L.Y.",
            "prefix": "MS.",
            "credential": "LMT, BCTMB, MBA, CPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 4, 2023; 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.