Active NPI
Grace Marie Sajor Isidro, LMT
- Massage Therapist
- Kapolei, HI
National Provider Identifier
1700423621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 16157
- Practice address
- 338 Kamokila Blvd Ste 201
Kapolei, HI 96707-2055 - Phone
- (808) 674-9998
- Fax
- (808) 674-9877
- NPI assigned
- Dec 10, 2019
- Last updated
- Dec 10, 2019
- 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 | 16157 | HI | Primary |
Addresses
Primary practice location
338 Kamokila Blvd Ste 201
Kapolei, HI 96707-2055
Mailing address
94-1157 Awaiki St
Waipahu, HI 96797-3224
Phone (808) 292-1894
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 |
|---|---|---|---|
| 16157 | HI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebound Hawaii LLC | Massage Therapist | Current | Accepting new patients |
Locations
338 Kamokila Blvd
Ste 201
Kapolei, HI 96707
Phone (808) 674-9998
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1700423621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-1157 AWAIKI ST",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967973224",
"telephone_number": "808-292-1894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 KAMOKILA BLVD STE 201",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072055",
"telephone_number": "808-674-9998",
"fax_number": "808-674-9877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISIDRO",
"first_name": "GRACE MARIE",
"middle_name": "SAJOR",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-10",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "16157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kapolei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.