Mr Roy Kenji Omori, LMT is a
Massage Therapist based in Newport, Rhode Island. Mr Roy Kenji Omori is licensed to practice in Rhode Island (license number 01025) and his current practice location is
372 Broadway, Newport, Rhode Island. He can be reached at his office (for appointments etc.) via phone at
(401) 864-1258.
NPI number for Mr Roy Kenji Omori is 1679031405 and his current mailing address is 25 Annandale Rd, Newport, Rhode Island. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679031405.
Healthcare Provider's Profile
| Full Name | Mr Roy Kenji Omori |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 372 Broadway, Newport, Rhode Island |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679031405
- Provider Enumeration Date: 03/11/2019
- Last Update Date: 03/11/2019
Medical Identifiers
Medical identifiers for Mr Roy Kenji Omori such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679031405 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 01025 (Rhode Island) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Roy Kenji Omori is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Roy Kenji Omori, LMT
25 Annandale Rd,
Newport, RI 02840-3601
Ph: (401) 864-1258 | Mr Roy Kenji Omori, LMT
372 Broadway,
Newport, RI 02840-1777
Ph: (401) 864-1258 |
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