Active NPI
PA Youa Yang, OTR
- Occupational Therapist
- Brookfield, WI
National Provider Identifier
1780224147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6626
- Practice address
- 19395 W Capitol Dr Ste 200
Brookfield, WI 53045-2736 - Phone
- (262) 923-7101
- NPI assigned
- Jan 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6626 | WI | Primary |
Addresses
Primary practice location
19395 W Capitol Dr Ste 200
Brookfield, WI 53045-2736
Mailing address
3816 S 10TH St
Sheboygan, WI 53081-8608
Phone (920) 254-5469
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1780224147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3816 S 10TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530818608",
"telephone_number": "920-254-5469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19395 W CAPITOL DR STE 200",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530452736",
"telephone_number": "262-923-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "PA YOUA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-13",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "6626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.