Individual provider Active NPI

Linda Yentes

  • Massage Therapist
  • Wabash, IN
National Provider Identifier
1467167072
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
22007155 Issued in IN
Practice address
1025 Manchester Ave Ste 8B
Wabash, IN 46992-1425
Phone
(260) 330-5372
NPI assigned
Jan 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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 22007155 IN Primary

Addresses

Primary practice location

1025 Manchester Ave Ste 8B
Wabash, IN 46992-1425

Mailing address

1025 Manchester Ave Ste 8B
Wabash, IN 46992-1425
Phone (260) 330-5372

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL 68.83:CB:6E:6D:96 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1025 Manchester Ave
Suite 8B
Wabash, IN 46992-1425
Phone (260) 330-5372

1025 Manchester Ave
Suite 8B
Wabash, IN 46992-1496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22007155INMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1467167072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MANCHESTER AVE STE 8B",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921425",
            "telephone_number": "260-330-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MANCHESTER AVE STE 8B",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921425",
            "telephone_number": "260-330-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENTES",
        "first_name": "LINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "22007155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "68.83:CB:6E:6D:96",
            "affiliation": "N",
            "endpointDescription": "WI-FI Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1025 Manchester Ave Ste 8B",
            "city": "Wabash",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469921425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wabash, IN

Sources for this page

Verify at the official NPI Registry.