Active NPI
Michael C Aquino, LMT
- Massage Therapist
- Honolulu, HI
National Provider Identifier
1508115486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAT - 12210
- Practice address
- 627 South St
Honolulu, HI 96813-5050 - Phone
- (808) 227-4647
- NPI assigned
- Sep 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | MAT - 12210 | HI | Primary |
Addresses
Primary practice location
627 South St
Honolulu, HI 96813-5050
Mailing address
1310 Ala Alii Street
Honolulu, HI 96818
Phone (808) 227-4647
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 |
|---|---|---|---|
| MAT - 12210 | HI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474675200000",
"number": "1508115486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 ALA ALII STREET",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96818",
"telephone_number": "808-227-4647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 SOUTH ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968135050",
"telephone_number": "808-227-4647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AQUINO",
"first_name": "MICHAEL",
"middle_name": "C",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-06",
"last_updated": "2016-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "MAT - 12210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.