Active NPI
Ryan Hornback
- Massage Therapist
- Makawao, HI
National Provider Identifier
1427363266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10272
- Practice address
- 81 Makawao Ave Ste 110
Makawao, HI 96768-8859 - Phone
- (808) 572-2281
- Fax
- (808) 573-5869
- NPI assigned
- Aug 17, 2010
- Sex
- Male
- 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 | 10272 | HI | Primary |
Addresses
Primary practice location
81 Makawao Ave Ste 110
Makawao, HI 96768-8859
Mailing address
81 Makawao Ave Ste 110
Makawao, HI 96768-8859
Phone (808) 572-2281
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 |
|---|---|---|---|
| 10272 | HI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy at Pukalani, LLC | Past | Accepting new patients | |
| Darrin Huth Inc. | Past | Accepting new patients |
Organizations & group practices 2
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
- Pukalani, HI
- NPI 1083668891
-
dba Olakino Physical Therapy
- Physical Therapy Clinic/Center
- Makawao, HI
- NPI 1073198115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282003200000",
"number": "1427363266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 MAKAWAO AVE STE 110",
"city": "MAKAWAO",
"state": "HI",
"postal_code": "967688859",
"telephone_number": "808-572-2281",
"fax_number": "808-573-5869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 MAKAWAO AVE STE 110",
"city": "MAKAWAO",
"state": "HI",
"postal_code": "967688859",
"telephone_number": "808-572-2281",
"fax_number": "808-573-5869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNBACK",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-17",
"last_updated": "2010-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "10272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Makawao, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.