Individual provider Active NPI

Mati Sapolu, MASSAGE THERAPIST

  • Contractor
  • Honolulu, HI
National Provider Identifier
1588899298
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
LMT8600 Issued in HI
Practice address
1019 University Ave
Suite T02
Honolulu, HI 96826-1509
Phone
(808) 203-0776
NPI assigned
May 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X LMT8600 HI Primary

Addresses

Primary practice location

1019 University Ave
Suite T02
Honolulu, HI 96826-1509

Mailing address

1019 University Avenue
Suite T02
Honolulu, HI 96826
Phone (808) 203-0776

Other identifiers 1

IdentifierTypeStateIssuer
LMT8600OtherHIMASSAGE THERAPIST

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
LMT8600HIMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1588899298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 UNIVERSITY AVENUE",
            "address_2": "SUITE T02",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96826",
            "telephone_number": "808-203-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 UNIVERSITY AVE",
            "address_2": "SUITE T02",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261509",
            "telephone_number": "808-203-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPOLU",
        "first_name": "MATI",
        "name_prefix": "Ms.",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "HI",
            "license": "LMT8600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "LMT8600",
            "state": "HI"
        }
    ],
    "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 May 26, 2009; 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.