Individual provider Active NPI

Kevin M Schoonmaker, LMT

  • Massage Therapist
  • Honolulu, HI
National Provider Identifier
1932643541
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAT-14341 Issued in HI
Practice address
750 Kapahulu Ave Ste D
Honolulu, HI 96816-6020
Phone
(336) 392-3289
NPI assigned
Dec 15, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MAT-14341 HI Primary

Addresses

Primary practice location

750 Kapahulu Ave Ste D
Honolulu, HI 96816-6020

Mailing address

750 Kapahulu Ave Ste E
Honolulu, HI 96816-6020
Phone (336) 392-3289

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-14341HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Pain Relief Center, Inc Single Specialty CurrentSince Jan 22, 2023 Accepting new patients

Locations

750 Kapahulu Ave
Ste D
Honolulu, HI 96816
Phone (336) 392-3289

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": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1932643541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 KAPAHULU AVE STE E",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968166020",
            "telephone_number": "336-392-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 KAPAHULU AVE STE D",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968166020",
            "telephone_number": "336-392-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOONMAKER",
        "first_name": "KEVIN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-15",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-14341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.