Malama Yoga & Nature-Based Therapy LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

MALAMA YOGA & NATURE-BASED THERAPY LLC

Practice address

1711A Olinda Rd
Makawao, HI 96768-7124

Phone

(808) 757-5301

Fax

(808) 707-3152

NPI assigned

May 22, 2023

Organization subpart

No

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

Authorized official

Name

Tabitha Tatum, OTR/LNPI 1306460043

Title

Founder, Occupational Therapist

Phone

(808) 757-5301

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Tabitha Tatum, OTR/L

  • Occupational Therapist
  • Redding, CA
  • NPI 1306460043
  NPD Authorized official

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1508558453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1102",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967681102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711A OLINDA RD",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967687124",
            "telephone_number": "808-757-5301",
            "fax_number": "808-707-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALAMA YOGA & NATURE-BASED THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-20",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "FOUNDER, OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "808-757-5301",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306460043",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lydee Ritchie LMFT LLC
• Lynn Sauler Therapy LLC
• Patricia L Lynn, MA MFT
• Michele Chantal Maalea, COUNSELOR
• Malama Pono Physical Therapy LLC
• Audrey Malasnik
• Joanne Marroni, L.M.H.C., M.A.C
• Juliana Smith Massenburg, RPH
• Robert P Mastroianni, MD
• Maui Care Physicians LLC

• Developmental Disabilities Clinic/Center in Makawao, HI
• Providers in Makawao, HI by specialty
• Developmental Disabilities Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.