Active NPI
Phetsamone Sivongxay
- Massage Therapist
- Aiea, HI
National Provider Identifier
1861329518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAT-14512
- Practice address
- 98-1005 Moanalua Rd SPC 235
Aiea, HI 96701-4707 - Phone
- (808) 488-8588
- Fax
- (808) 556-3389
- NPI assigned
- May 6, 2026
- Last updated
- May 6, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MAT-14512 | HI | Primary |
Addresses
Primary practice location
98-1005 Moanalua Rd SPC 235
Aiea, HI 96701-4707
Mailing address
98-1005 Moanalua Rd SPC 235
Aiea, HI 96701-4707
Phone (808) 488-8588
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
| License | State | Type | Specialty |
|---|---|---|---|
| MAT-14512 | HI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Wellness Center | Multi-Specialty | Past | Accepting new patients |
| Energy Healing & Massage LLC | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1861329518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98-1005 MOANALUA RD SPC 235",
"city": "AIEA",
"state": "HI",
"postal_code": "967014707",
"telephone_number": "808-488-8588",
"fax_number": "808-556-3389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-1005 MOANALUA RD SPC 235",
"city": "AIEA",
"state": "HI",
"postal_code": "967014707",
"telephone_number": "808-488-8588",
"fax_number": "808-556-3389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIVONGXAY",
"first_name": "PHETSAMONE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-06",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "HI",
"license": "MAT-14512",
"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 May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.