Individual provider Active NPI

Rochelle Maile Russel

  • Massage Therapist
  • Kapolei, HI
National Provider Identifier
1396257960
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
14745 Issued in HI
Practice address
338 Kamokila Blvd
#201
Kapolei, HI 96707-2055
Phone
(808) 674-9998
Fax
(808) 674-9877
NPI assigned
Nov 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 14745 HI Primary

Addresses

Primary practice location

338 Kamokila Blvd
#201
Kapolei, HI 96707-2055

Mailing address

98-020 Kamehameha Hwy
#2019
Aiea, HI 96701-5717
Phone (808) 674-9998

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

LicenseStateTypeSpecialty
14745HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Hawaii LLC Massage Therapist CurrentSince Aug 15, 2021 Accepting new patients
PT Hawaii, Inc. Past Accepting new patients
P.T. Hawaii, Inc Past Accepting new patients

Locations

338 Kamokila Blvd
Ste 201
Kapolei, HI 96707
Phone (808) 674-9998

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1396257960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-020 KAMEHAMEHA HWY",
            "address_2": "#2019",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015717",
            "telephone_number": "808-674-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 KAMOKILA BLVD",
            "address_2": "#201",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072055",
            "telephone_number": "808-674-9998",
            "fax_number": "808-674-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSEL",
        "first_name": "ROCHELLE",
        "middle_name": "MAILE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "14745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.