Individual provider Active NPI

Jyhfang Jehng

  • Occupational Therapist
  • Fort Mohave, AZ
National Provider Identifier
1407164759
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2990 Issued in AZ
Practice address
2370 E Nez Perce Rd
Fort Mohave, AZ 86426-7059
Phone
(928) 577-0239
NPI assigned
Sep 21, 2010
Last updated
Sep 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2990 AZ Primary

Addresses

Primary practice location

2370 E Nez Perce Rd
Fort Mohave, AZ 86426-7059

Mailing address

2370 E Nez Perce Rd
Fort Mohave, AZ 86426-7059
Phone (928) 577-0239

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2990AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation, LLC Occupational Therapist CurrentSince Jan 20, 2023 Accepting new patients
Empowerme Rehabilitation, LLC Occupational Therapist CurrentSince Jan 20, 2023 Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Jun 18, 2024 Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Jun 18, 2024 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

4254 Weathers St NE
Salem, OR 97301
Phone (503) 585-4602

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1407164759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 E NEZ PERCE RD",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864267059",
            "telephone_number": "928-577-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 E NEZ PERCE RD",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864267059",
            "telephone_number": "928-577-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEHNG",
        "first_name": "JYHFANG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "2990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mohave, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.