NPIMap

Organization Active NPI

Thai-Issan Therapeutic Massage, LLC

  • Massage Therapist
  • Honolulu, HI
National Provider Identifier
1457724387
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAT-8376 Issued in HI
Legal business name
THAI-ISSAN THERAPEUTIC MASSAGE, LLC
Practice address
655 Keeaumoku St Ste 102
Honolulu, HI 96814-3006
Phone
(808) 593-8866
Fax
(808) 593-8035
NPI assigned
Oct 30, 2015
Organization subpart
Yes
Parent organization
THAI-ISSAN THERAPEUTIC MASSAGE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
Ms. Sathiporn Songsorn, LMT, PMT, PDSONPI 1376908335
Title
President
Phone
(808) 593-8866

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X MAT-8376 HI Primary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X MAT-13238 HI

Addresses

Primary practice location

655 Keeaumoku St Ste 102
Honolulu, HI 96814-3006

Mailing address

1281 S King St
Honolulu, HI 96814-2254
Phone (808) 593-8866

Other names 1

  • Thai-Issan Massage Academy Doing business as

National Provider Directory

National Provider Directory

Locations

655 Keeaumoku St
Ste 102
Honolulu, HI 96814
Phone (808) 352-4687

1281 S King St
Honolulu, HI 96814
Phone (808) 593-8866

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1457724387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142254",
            "telephone_number": "808-593-8866",
            "fax_number": "808-593-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 KEEAUMOKU ST STE 102",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143006",
            "telephone_number": "808-593-8866",
            "fax_number": "808-593-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAI-ISSAN THERAPEUTIC MASSAGE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THAI-ISSAN THERAPEUTIC MASSAGE, LLC",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "SONGSORN",
        "authorized_official_first_name": "SATHIPORN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-593-8866",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT, PMT, PDSO"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-8376",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-13238",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thai-Issan Massage Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 16, 2015; 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.