Active NPI
Leilani Wilhelm, LMT
- Massage Therapist
- Kapolei, HI
National Provider Identifier
1912444035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 11764
- Practice address
- 91-1027 Shangrila St
Building 1867
Kapolei, HI 96707-2101 - Phone
- (808) 674-9595
- Fax
- (808) 674-9696
- NPI assigned
- Jan 26, 2017
- Last updated
- Jan 26, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 11764 | HI | Primary |
Addresses
Primary practice location
91-1027 Shangrila St
Building 1867
Kapolei, HI 96707-2101
Mailing address
91-1163 Pohahawai St
Ewa Beach, HI 96706-1829
Phone (808) 393-7178
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 |
|---|---|---|---|
| 11764 | HI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warfighter's Clinic | Past | Accepting new patients | |
| Elam Sports, Inc | 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.
-
- Pain Medicine Physician
- Kapolei, HI
- NPI 1003357765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485388800000",
"number": "1912444035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-1163 POHAHAWAI ST",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967061829",
"telephone_number": "808-393-7178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91-1027 SHANGRILA ST",
"address_2": "BUILDING 1867",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072101",
"telephone_number": "808-674-9595",
"fax_number": "808-674-9696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILHELM",
"first_name": "LEILANI",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-26",
"last_updated": "2017-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "11764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kapolei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.