Leslie Susan Ko, LCMT, BCTMB

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

327 Issued in CA

Practice address

1611 San Pablo Ave Ste 1
Berkeley, CA 94702-1367

Phone

(916) 416-0491

NPI assigned

Mar 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Suzi Kawaioniokekaikaiona Ko Professional name

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.

• Holistic Honu Wellness Center

  • Community Health Clinic/Center
  • Berkeley, CA
  • NPI 1649090929

  Massage Therapist

  NPD Authorized official

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743292800000",
    "number": "1457856965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466 CEDAR ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947021221",
            "telephone_number": "916-416-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 SAN PABLO AVE STE 1",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947021367",
            "telephone_number": "916-416-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "LESLIE",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LCMT, BCTMB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZI",
            "last_name": "KO",
            "middle_name": "KAWAIONIOKEKAIKAIONA",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Karl Thomas Knobler, PHD
• Martha W Knobler, MA MFT
• Virginia Ann Knoll, RN
• Kevin B Knopf, M.D.
• Kelly Lynn Knowles
• Shao-Jung Ko
• Wesley W Ko
• Diana Kobland, L.AC.
• Eric Koblenz, MFT
• Rosey Kobliska-Becker, ASW

• Massage Therapist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2025; 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.