Individual provider Active NPI

Sammy Daryl Molitas, LMT

  • Massage Therapist
  • Kihei, HI
National Provider Identifier
1821373515
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAT 11408 Issued in HI
Practice address
1993 S Kihei Rd Ste 16
Kihei, HI 96753-7821
Phone
(808) 854-7243
NPI assigned
Oct 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MAT 11408 HI Primary

Addresses

Primary practice location

1993 S Kihei Rd Ste 16
Kihei, HI 96753-7821

Mailing address

44 Kanani Rd Apt 1-106
Kihei, HI 96753-6714
Phone (808) 854-7243

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
MAT 11408HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maui'S Best Massage LLC Massage Therapist Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1821373515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 KANANI RD APT 1-106",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536714",
            "telephone_number": "808-854-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1993 S KIHEI RD STE 16",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537821",
            "telephone_number": "808-854-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLITAS",
        "first_name": "SAMMY",
        "middle_name": "DARYL",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT 11408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.