Sathiporn Songsorn, LMT, PMT, PDSO

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MAT-8376 Issued in HI

Practice address

92-1220 Aliinui Dr
Kapolei, HI 96707-4296

Phone

(808) 979-6553

Fax

(808) 492-1133

NPI assigned

Dec 17, 2015

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

Locations

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.

• Thai-Issan Therapeutic Massage, LLC

  • Massage Therapist
  • Honolulu, HI
  • NPI 1457724387

  Single Specialty

  NPD (past) Authorized official
• Omaj Partners LLC (Dba Omaj Clinic for Muscle Therapy)

  • Mechanotherapist
  • Honolulu, HI
  • NPI 1952140360

  Single Specialty

  NPD

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1376908335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-1498 ALIINUI DR APT 4",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967074298",
            "telephone_number": "808-979-6553",
            "fax_number": "808-492-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92-1220 ALIINUI DR",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967074296",
            "telephone_number": "808-979-6553",
            "fax_number": "808-492-1133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92-1480 Aliinui Dr Ste 1101",
            "address_purpose": "LOCATION",
            "city": "Kapolei",
            "state": "HI",
            "postal_code": "967072209",
            "country_code": "US",
            "telephone_number": "808-979-6553",
            "fax_number": "808-492-1133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 Artesian St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968261320",
            "country_code": "US",
            "telephone_number": "808-979-6553",
            "fax_number": "808-492-1133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONGSORN",
        "first_name": "SATHIPORN",
        "credential": "LMT, PMT, PDSO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-8376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.