Yan Min Wang, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT21605783 Issued in IN

Practice address

10291 N Meridian St Ste 170
Indianapolis, IN 46290-1000

Phone

(317) 658-4987

Fax

(833) 884-9394

NPI assigned

Feb 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Jenny Wang Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

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.

• Semcotech, LLC

  • Mechanotherapist
  • Indianapolis, IN
  • NPI 1780094524
  NPD

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1396378147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10291 N MERIDIAN ST STE 170",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901000",
            "telephone_number": "317-658-4987",
            "fax_number": "833-884-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10291 N MERIDIAN ST STE 170",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901000",
            "telephone_number": "317-658-4987",
            "fax_number": "833-884-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "YAN MIN",
        "name_prefix": "Ms.",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "IN",
            "license": "MT21605783",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "MT21605783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "WANG",
            "prefix": "MS.",
            "credential": "MT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tianxin Wang
• Tim Kun Wang, D.D.S.
• Weiwei Wang
• Xiaoyan Wang, M.D,
• Xiyu Wang
• Yifei Wang
• Yun Wang, NP
• Yunwei Wang, M.D., PH.D
• Joy V Wanjiru
• Igor Wanko Mboumi, MD

• Massage Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Massage Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.