Individual provider Active NPI

Timoteo K Hew Len

  • Massage Therapist
  • Lihue, HI
National Provider Identifier
1720611585
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
15894 Issued in HI
Practice address
3-1866 Kaumualii Hwy
Lihue, HI 96766-8606
Phone
(808) 333-3633
NPI assigned
Feb 19, 2020
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 15894 HI Primary

Addresses

Primary practice location

3-1866 Kaumualii Hwy
Lihue, HI 96766-8606

Mailing address

4345 Kuke St
Kilauea, HI 96754-5310
Phone (808) 652-4350

Other identifiers 1

IdentifierTypeStateIssuer
15894OtherHIHAWAII STATE MASSAGE LICENSE

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
15894HIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720611585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 KUKE ST",
            "city": "KILAUEA",
            "state": "HI",
            "postal_code": "967545310",
            "telephone_number": "808-652-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3-1866 KAUMUALII HWY",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967668606",
            "telephone_number": "808-333-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEW LEN",
        "first_name": "TIMOTEO",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-19",
        "last_updated": "2022-07-21",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "15894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII STATE MASSAGE LICENSE",
            "identifier": "15894",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.