Myron James Vititow, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MAT-167775 Issued in HI

Practice address

68-139 Au St
Waialua, HI 96791-8405

Phone

(518) 344-0396

NPI assigned

Oct 25, 2021

Last updated

Oct 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1558025650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68-677 FARRINGTON HWY",
            "city": "WAIALUA",
            "state": "HI",
            "postal_code": "967919355",
            "telephone_number": "518-818-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68-139 AU ST",
            "city": "WAIALUA",
            "state": "HI",
            "postal_code": "967918405",
            "telephone_number": "518-344-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITITOW",
        "first_name": "MYRON",
        "middle_name": "JAMES",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-167775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Elizabeth Schneller, CN
• Kaualiiliimaikalani Mayumi Segawa, ATC
• Nina Summers, MT
• The Wahiawa Center for Community Health
• Therapy on the Go, Inc.
• Waves of Health LLC (BoardsportsDoc)

• Massage Therapist in Waialua, HI
• Providers in Waialua, HI by specialty
• Massage Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.