Individual provider Active NPI

Rylee K Urasaki, LMT, MMP

  • Massage Therapist
  • Kailua, HI
National Provider Identifier
1679088967
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
15308 Issued in HI
Practice address
1090 Keolu Dr Ste 102
Kailua, HI 96734-3871
Phone
(808) 262-2292
Fax
(808) 262-2293
NPI assigned
Dec 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 15308 HI Primary

Addresses

Primary practice location

1090 Keolu Dr Ste 102
Kailua, HI 96734-3871

Mailing address

47-387 Hui Iwa St Apt 4
Kaneohe, HI 96744-4435
Phone (808) 218-4274

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
15308HIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1679088967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47-387 HUI IWA ST APT 4",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967444435",
            "telephone_number": "808-218-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 KEOLU DR STE 102",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343871",
            "telephone_number": "808-262-2292",
            "fax_number": "808-262-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URASAKI",
        "first_name": "RYLEE",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "LMT, MMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "15308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.