Active NPI
Yandi Cakrasenjaya, LMT, MMP
- Massage Therapist
- Pueblo, CO
National Provider Identifier
1811640832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT.0023692
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MT.0023692 | CO | MD | Massage 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.