Masayo Omori, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-1824 Issued in HI

Practice address

1001 Queen Street Unit 3413
Honolulu, HI 96814-5602

Phone

(414) 617-4976

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Quality Therapy & Consultation, Inc.

  • Physical Therapist
  • Orland Park, IL
  • NPI 1982633715
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641686400000",
    "number": "1801016548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 QUEEN STREET, UNIT 3413",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96814",
            "telephone_number": "414-617-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 QUEEN STREET UNIT 3413",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968145602",
            "telephone_number": "414-617-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMORI",
        "first_name": "MASAYO",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "056005717",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "SP-1824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael M Omizo, PHD
• Reese Kazuo Omizo, M.D.
• Omni Anesthesia LLC
• Omnicare Medical Clinic,Inc
• William Addison Wry Omohundro
• Sean H. Omori, M.D.
• Omura & Inouye, D.D.S., Inc.
• Aaron Jay Omura, DMD
• Clifford J. Omura, D.D.S.
• On Point Acupuncture and Chinese Medicine, LLC

• Speech-Language Pathologist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Speech-Language Pathologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.