Alisa Yang

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2024-227 Issued in MN

Practice address

790 S Plaza Dr Ste 100
Mendota Heights, MN 55120-1802

Phone

(763) 339-8008

NPI assigned

Dec 30, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blissful Performance Massage LLC

  • Massage Therapist
  • Mendota Heights, MN
  • NPI 1255149886

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1346058971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 BELT LINE BLVD APT 208",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554162607",
            "telephone_number": "763-339-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 S PLAZA DR STE 100",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201802",
            "telephone_number": "763-339-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "ALISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": "2024-227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Wright
• Laurie J Xiong, PT
• PA Chia Xiong
• PA Rose Xiong
• Suilong Xiong
• Chia Yang
• Gwendylene Yang
• PA Der Yang
• Rose Yang
• Sarah Pangmee Yang

• Massage Therapist in Mendota Heights, MN
• Providers in Mendota Heights, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.