Individual provider Active NPI

Leigh K Kupo, LMT

  • Massage Therapist
  • Wailuku, HI
National Provider Identifier
1649509886
Registry record updated Dec 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAT 7829 Issued in HI
Practice address
81 Central Ave
Wailuku, HI 96793-1723
Phone
(808) 269-2154
NPI assigned
Dec 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MAT 7829 HI Primary

Addresses

Primary practice location

81 Central Ave
Wailuku, HI 96793-1723

Mailing address

PO Box 6062
Kahului, HI 96733-6062
Phone (808) 269-2154

Other names 1

  • Mr. Lee K Kupo Professional name

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
MAT 7829HIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261785600000",
    "number": "1649509886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6062",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967336062",
            "telephone_number": "808-269-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 CENTRAL AVE",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931723",
            "telephone_number": "808-269-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPO",
        "first_name": "LEIGH",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT 7829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEE",
            "last_name": "KUPO",
            "middle_name": "K",
            "prefix": "MR.",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wailuku, HI

Sources for this page

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