NPIMap

Organization Active NPI

Jaywhy Inc

  • Chiropractor
  • Keller, TX
National Provider Identifier
1922584598
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13106 Issued in TX
Legal business name
JAYWHY INC
Practice address
420 Johnson Rd Ste 204
Keller, TX 76248-3462
Phone
(817) 431-4242
NPI assigned
Jul 16, 2018
Last updated
Jul 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Authorized official

Name
Dr. Fan Yang, PT, DPTNPI 1558608521
Title
Doctor of Physical Therapy/Owner
Phone
(248) 227-8904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 13106 TX Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1264287 TX

Addresses

Primary practice location

420 Johnson Rd Ste 204
Keller, TX 76248-3462

Mailing address

420 Johnson Rd Ste 204
Keller, TX 76248-3462
Phone (817) 431-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180906000978 TX Part B Supplier - Clinic/Group Practice 8628328051 Receives reassigned benefits from 7 practitioners
Practice locations: Keller, TX

National Provider Directory

National Provider Directory

Locations

420 Johnson Rd
Ste 204
Keller, TX 76248
Phone (817) 431-4242

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1922584598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 JOHNSON RD STE 204",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483462",
            "telephone_number": "817-431-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 JOHNSON RD STE 204",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483462",
            "telephone_number": "817-431-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYWHY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "FAN",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY/OWNER",
        "authorized_official_telephone_number": "248-227-8904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13106",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1264287",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.