Jessica Cruz, MAT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MAT-12032 Issued in HI

Practice address

719 Kamehameha Hwy Ste B101
Pearl City, HI 96782-2771

Phone

(808) 723-2921

Fax

(808) 484-9106

NPI assigned

Nov 20, 2020

Last updated

Nov 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1962005843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 KAMEHAMEHA HWY STE B101",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822771",
            "telephone_number": "808-723-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 KAMEHAMEHA HWY STE B101",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822771",
            "telephone_number": "808-723-2921",
            "fax_number": "808-484-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "JESSICA",
        "credential": "MAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-12032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "576616",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sara Fischlowitz Davis, M.D.

• Massage Therapist in Pearl City, HI
• Providers in Pearl City, HI by specialty
• Massage Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.