Individual provider Active NPI

Yanmei Wang

  • Massage Therapist
  • Beaverton, OR
National Provider Identifier
1376324590
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
27188
Practice address
14455 SW Allen Blvd Ste 101
Beaverton, OR 97005-4428
Phone
(503) 683-3353
Fax
(972) 329-4668
NPI assigned
Oct 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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 27188 Primary

Addresses

Primary practice location

14455 SW Allen Blvd Ste 101
Beaverton, OR 97005-4428

Mailing address

10706 NE 5TH Ave
Portland, OR 97211-1066
Phone (503) 683-3353

Other practice location 1

2499 NE John Olsen Ave Apt A314
Hillsboro, OR 97006-6468
Phone (626) 418-5160

Other names 1

  • Sunny Wang Other name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunny Wang Massage LLC Massage Therapist CurrentSince Apr 28, 2024 Accepting new patients

Locations

14455 SW Allen Blvd
Ste 101
Beaverton, OR 97005
Phone (503) 643-2120

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1376324590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10706 NE 5TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972111066",
            "telephone_number": "503-683-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14455 SW ALLEN BLVD STE 101",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054428",
            "telephone_number": "503-683-3353",
            "fax_number": "972-329-4668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2499 NE John Olsen Ave Apt A314",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "970066468",
            "country_code": "US",
            "telephone_number": "626-418-5160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "YANMEI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": "27188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUNNY",
            "last_name": "WANG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.