Individual provider Active NPI

Alyssa Panis, LMT

  • Massage Therapist
  • Aiea, HI
National Provider Identifier
1831904283
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAT-18029 Issued in HI
Practice address
99-209 Moanalua Rd Ste 314
Aiea, HI 96701-4042
Phone
(808) 797-8721
NPI assigned
Feb 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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-18029 HI Primary

Addresses

Primary practice location

99-209 Moanalua Rd Ste 314
Aiea, HI 96701-4042

Mailing address

98-799 Leialii St
Aiea, HI 96701-2749

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-18029HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aviva LLC Massage Therapist CurrentSince Feb 23, 2025 Accepting new patients

Locations

99-209 Moanalua Rd
Ste 314
Aiea, HI 96701
Phone (760) 443-2863

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": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1831904283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-799 LEIALII ST",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967012749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-209 MOANALUA RD STE 314",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014042",
            "telephone_number": "808-797-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANIS",
        "first_name": "ALYSSA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-18029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.