Individual provider Active NPI

Yandi Cakrasenjaya, LMT, MMP

  • Massage Therapist
  • Pueblo, CO
National Provider Identifier
1811640832
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0023692 Issued in CO
Practice address
925 W US Highway 50
Pueblo, CO 81008-1606
Phone
(720) 600-9994
NPI assigned
Jan 31, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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 MT.0023692 CO Primary

Addresses

Primary practice location

925 W US Highway 50
Pueblo, CO 81008-1606

Mailing address

359 E Enterprise Dr Ste 7
Pueblo West, CO 81007-1443
Phone (720) 600-9994

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.massagebook.com/Pueblo_West~Massage~YandiCakrasenjayaLMT?src=external

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

State licenses

LicenseStateTypeSpecialty
MT.0023692COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1811640832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 E ENTERPRISE DR STE 7",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810071443",
            "telephone_number": "720-600-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 W US HIGHWAY 50",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081606",
            "telephone_number": "720-600-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAKRASENJAYA",
        "first_name": "YANDI",
        "credential": "LMT, MMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-31",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0023692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.massagebook.com/Pueblo_West~Massage~YandiCakrasenjayaLMT?src=external",
            "affiliation": "N",
            "endpointDescription": "web site",
            "address_1": "359 E Enterprise Dr Ste 7",
            "city": "Pueblo West",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810071443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.