Connie Jo Ferrero-Egloria, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

11956 Issued in HI

Practice address

458 Manawai St
Kapolei, HI 96707-4604

Phone

(808) 783-5359

NPI assigned

Jun 13, 2022

Sex

Female

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1558091520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1052 NALII ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973346",
            "telephone_number": "808-783-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 MANAWAI ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967074604",
            "telephone_number": "808-783-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRERO-EGLORIA",
        "first_name": "CONNIE",
        "middle_name": "JO",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "11956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Fermin
• Caroline E Fernandez, M.D.
• Dorian Fernandez
• Ricardo Eugenio Fernandez, D.D.S.
• Trista Ferreira, RBT
• Anne J Figueira, RN, IBCLC
• First Medical Group, Inc.
• Theresa Lynn Ray Flament, M.D.
• Taylor Flores
• Lynne E Foltz, MSPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.