Jouan Vang

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

10041 Issued in MA

Practice address

39 Queen St # 2433
Worcester, MA 01610-2433

Phone

(508) 753-4791

NPI assigned

Sep 28, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CHS of Worcester, Inc

  • Skilled Nursing Facility
  • Worcester, MA
  • NPI 1366500498
  NPD (past)

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1992429385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 ALBEE ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014206404",
            "telephone_number": "978-868-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 QUEEN ST # 2433",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102433",
            "telephone_number": "508-753-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG",
        "first_name": "JOUAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "10041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Demetri Vandoros, M.D.
• Adriana Vandroux, LMHC
• Virginia Vanduyne, M.D.
• Megan Vandyke
• Bethany Vanemburgh
• Savannah G Vangel
• Angela Vangerven
• Lorenc Vangjeli
• Angelo E Vangos, DMD
• Jessica Vangos

• Physical Therapy Assistant in Worcester, MA
• Providers in Worcester, MA by specialty
• Physical Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.