NPIMap

Organization Active NPI

Green Ti Boutique and Massage LLC

  • Massage Therapist
  • Wailuku, HI
National Provider Identifier
1801237045
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2281 Issued in HI
Legal business name
GREEN TI BOUTIQUE AND MASSAGE LLC
Practice address
40 N Market St
Wailuku, HI 96793-1718
Phone
(808) 242-8788
Fax
(808) 242-8788
NPI assigned
Jul 16, 2013
Last updated
Jul 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Authorized official

Name
Mrs. Erica Lynn Oleksa
Title
Owner/Manager
Phone
(808) 242-8788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 2281 HI Primary

Addresses

Primary practice location

40 N Market St
Wailuku, HI 96793-1718

Mailing address

40 N Market St
Wailuku, HI 96793-1718
Phone (808) 242-8788

National Provider Directory

National Provider Directory

Locations

40 N Market St
Wailuku, HI 96793
Phone (808) 242-8788

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1801237045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N MARKET ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931718",
            "telephone_number": "808-242-8788",
            "fax_number": "808-242-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N MARKET ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931718",
            "telephone_number": "808-242-8788",
            "fax_number": "808-242-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN TI BOUTIQUE AND MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "OLEKSA",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "808-242-8788",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "2281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 16, 2013; 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.