Yang Vau Chang

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

820 Schelfhout LN
Kimberly, WI 54136-2064

Phone

(920) 362-0537

NPI assigned

Oct 4, 2023

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 4, 2023.

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1972383024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 N TERRI LN",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549146935",
            "telephone_number": "920-410-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SCHELFHOUT LN",
            "city": "KIMBERLY",
            "state": "WI",
            "postal_code": "541362064",
            "telephone_number": "920-362-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "YANG",
        "middle_name": "VAU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew J Boots, D.C.
• William Joseph Boots, DC
• Madeline L Boucher, APSW
• Timothy James Bouressa, D.D.S.
• Building Hope Therapy Services LLC
• Connections LLC
• Cornerstone Caregiving East LLC
• Tara Nicole Ditter
• Rebecca Kristeen Doro, D.O.
• Todd Doxtater, R.PH

• All providers in Kimberly, WI
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.