Individual provider Active NPI

Alissa Sue Sadaya, LMT

  • Massage Therapist
  • Honolulu, HI
National Provider Identifier
1508175613
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAT-11439 Issued in HI
Practice address
1010 S King St
Suite 217
Honolulu, HI 96814-1701
Phone
(808) 593-7717
Fax
(808) 593-7717
NPI assigned
Oct 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MAT-11439 HI Primary

Addresses

Primary practice location

1010 S King St
Suite 217
Honolulu, HI 96814-1701

Mailing address

1010 S King St
Suite 217
Honolulu, HI 96814-1701
Phone (808) 593-7717

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

LicenseStateTypeSpecialty
MAT-11439HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Massage Inc. Massage Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1508175613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S KING ST",
            "address_2": "SUITE 217",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141701",
            "telephone_number": "808-593-7717",
            "fax_number": "808-593-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S KING ST",
            "address_2": "SUITE 217",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141701",
            "telephone_number": "808-593-7717",
            "fax_number": "808-593-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADAYA",
        "first_name": "ALISSA",
        "middle_name": "SUE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-11439",
            "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 Jul 26, 2013; 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.