Individual provider Active NPI

Joualery Moua Piajyang

  • Massage Therapist
  • New Brighton, MN
National Provider Identifier
1073486023
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2025-102 Issued in MN
Practice address
1405 Silver Lake Rd NW Ste 11
New Brighton, MN 55112-9312
Phone
(612) 799-2154
NPI assigned
Sep 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 2025-102 MN Primary

Addresses

Primary practice location

1405 Silver Lake Rd NW Ste 11
New Brighton, MN 55112-9312

Mailing address

384 Jenks Ave
Saint Paul, MN 55130-3927
Phone (612) 799-2154

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
2025-102MNMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1073486023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 JENKS AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551303927",
            "telephone_number": "612-799-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SILVER LAKE RD NW STE 11",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129312",
            "telephone_number": "612-799-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIAJYANG",
        "first_name": "JOUALERY",
        "middle_name": "MOUA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": "2025-102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.