Individual provider Active NPI

Andrea Lai Sin Fong, M.A. OTR

  • Human Factors Occupational Therapist
  • Waipahu, HI
National Provider Identifier
1508087370
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Human Factors Occupational TherapistTaxonomy code 225XH1300X
License
651 Issued in HI
Practice address
94-144 Farrington Hwy #115
Waipahu, HI 96767
Phone
(808) 678-3814
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 651 HI
Ergonomics Occupational Therapist 225XE1200X 651 HI
Human Factors Occupational Therapist 225XH1300X 651 HI Primary
Neurorehabilitation Occupational Therapist 225XN1300X 651 HI
Pediatric Occupational Therapist 225XP0200X 651 HI
Driving and Community Mobility Occupational Therapist 225XR0403X 651 HI

Addresses

Primary practice location

94-144 Farrington Hwy #115
Waipahu, HI 96767

Mailing address

3357 Ala Ilima St
Honolulu, HI 96818-2330
Phone (808) 833-1440

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
651HIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1508087370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3357 ALA ILIMA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968182330",
            "telephone_number": "808-833-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-144 FARRINGTON HWY #115",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "96767",
            "telephone_number": "808-678-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "ANDREA",
        "middle_name": "LAI SIN",
        "name_prefix": "Miss",
        "credential": "M.A. OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "HI",
            "license": "651",
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "HI",
            "license": "651",
            "primary": false
        },
        {
            "code": "225XH1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Human Factors",
            "state": "HI",
            "license": "651",
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "HI",
            "license": "651",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "HI",
            "license": "651",
            "primary": false
        },
        {
            "code": "225XR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": "HI",
            "license": "651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.