NPIMap

Organization Active NPI

Hilo Bay Bodywork

  • Massage Therapist
  • Hilo, HI
National Provider Identifier
1386052058
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAT-13763 Issued in HI
Legal business name
HILO BAY BODYWORK
Practice address
36 Komohana St
Hilo, HI 96720-2008
Phone
(808) 315-2816
NPI assigned
Jul 25, 2014
Last updated
Jul 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Authorized official

Name
William Leigh Johnson, LMTNPI 1386052439
Title
Principle Massage Therapist
Phone
(808) 315-2816

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MAT-13763 HI Primary

Addresses

Primary practice location

36 Komohana St
Hilo, HI 96720-2008

Mailing address

PO Box 6868
Hilo, HI 96720-8935
Phone (808) 315-2816

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1386052058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6868",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967208935",
            "telephone_number": "808-315-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 KOMOHANA ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202008",
            "telephone_number": "808-315-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILO BAY BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PRINCIPLE MASSAGE THERAPIST",
        "authorized_official_telephone_number": "808-315-2816",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-13763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.