Individual provider Active NPI

Kesa Tong-Ishikawa

  • Massage Therapist
  • Kailua, HI
National Provider Identifier
1871147413
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAT-9419 Issued in HI
Practice address
407 Uluniu St Ste 204
Kailua, HI 96734-2536
Phone
(808) 266-2468
NPI assigned
Aug 1, 2019
Last updated
Aug 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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-9419 HI Primary

Addresses

Primary practice location

407 Uluniu St Ste 204
Kailua, HI 96734-2536

Mailing address

47-714 Hui Kelu St Apt 4
Kaneohe, HI 96744-4555
Phone (808) 266-2468

Other practice location 1

1441 Kapiolani Blvd Ste 1002
Honolulu, HI 96814-4405
Phone (808) 941-1010

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-9419HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NA Hoku O Ka Lani, Inc. Massage Therapist CurrentSince Nov 3, 2019 Accepting new patients

Locations

1441 Kapiolani Blvd
Ste 1002
Honolulu, HI 96814
Phone (808) 941-1010

407 Uluniu St
Ste 204
Kailua, HI 96734
Phone (808) 266-2468

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, 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": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1871147413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47-714 HUI KELU ST APT 4",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967444555",
            "telephone_number": "808-266-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 ULUNIU ST STE 204",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342536",
            "telephone_number": "808-266-2468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Kapiolani Blvd Ste 1002",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968144405",
            "country_code": "US",
            "telephone_number": "808-941-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TONG-ISHIKAWA",
        "first_name": "KESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-9419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.