Active NPI
Ximena E Wunderlich, LMT
- Massage Therapist
- Haleiwa, HI
National Provider Identifier
1932666724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 66-590 Kamehameha Hwy Ste 2F
Haleiwa, HI 96712-1484 - Phone
- (808) 260-7210
- Fax
- (808) 564-0050
- NPI assigned
- Feb 27, 2019
- Last updated
- Feb 27, 2019
- 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 | Primary |
Addresses
Primary practice location
66-590 Kamehameha Hwy Ste 2F
Haleiwa, HI 96712-1484
Mailing address
66-590 Kamehameha Hwy Ste 2F
Haleiwa, HI 96712-1484
Phone (808) 260-7210
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haleiwa Physical Therapy LLC | Past | Accepting new patients |
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.
-
dba Haleiwa Physical Therapy
- Physical Therapy Clinic/Center
- Haleiwa, HI
- NPI 1902264955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551225600000",
"number": "1932666724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66-590 KAMEHAMEHA HWY STE 2F",
"city": "HALEIWA",
"state": "HI",
"postal_code": "967121484",
"telephone_number": "808-260-7210",
"fax_number": "808-564-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66-590 KAMEHAMEHA HWY STE 2F",
"city": "HALEIWA",
"state": "HI",
"postal_code": "967121484",
"telephone_number": "808-260-7210",
"fax_number": "808-564-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUNDERLICH",
"first_name": "XIMENA",
"middle_name": "E",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-27",
"last_updated": "2019-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haleiwa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.