Organization Active NPI

Song Kai Massage PLLC

  • Massage Therapist
  • Tempe, AZ
National Provider Identifier
1992672067
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SONG KAI MASSAGE PLLC
Practice address
209 E Baseline Rd Ste E102
Tempe, AZ 85283-1299
Phone
(602) 345-0678
NPI assigned
Oct 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Andre Wilson, LMTNPI 1538903273
Title
Massage Therapist and Owner
Phone
(480) 388-4252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

209 E Baseline Rd Ste E102
Tempe, AZ 85283-1299

Mailing address

209 E Baseline Rd Ste E102
Tempe, AZ 85283-1299
Phone (602) 345-0678

National Provider Directory

National Provider Directory

Locations

209 E Baseline Rd
Ste E102
Tempe, AZ 85283
Phone (480) 284-8155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1992672067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E BASELINE RD STE E102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831299",
            "telephone_number": "602-345-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E BASELINE RD STE E102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831299",
            "telephone_number": "602-345-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONG KAI MASSAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "MASSAGE THERAPIST AND OWNER",
        "authorized_official_telephone_number": "480-388-4252",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.