Active NPI
Tomomi Freeman, MAT
- Massage Therapist
- Honolulu, HI
National Provider Identifier
1588406565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAT-15644
- Practice address
- 4510 Salt Lake Blvd Ste B6
Honolulu, HI 96818-3171 - Phone
- (808) 321-7135
- Fax
- (808) 200-3607
- NPI assigned
- Jun 10, 2024
- Sex
- Female
- 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-15644 | HI | Primary |
Addresses
Primary practice location
4510 Salt Lake Blvd Ste B6
Honolulu, HI 96818-3171
Mailing address
975 Ala Lilikoi St Apt 902
Honolulu, HI 96818-2415
Phone (808) 940-2022
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-15644 | HI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1588406565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 ALA LILIKOI ST APT 902",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968182415",
"telephone_number": "808-940-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 SALT LAKE BLVD STE B6",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968183171",
"telephone_number": "808-321-7135",
"fax_number": "808-200-3607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "TOMOMI",
"credential": "MAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-10",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "HI",
"license": "MAT-15644",
"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 Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.