Individual provider Active NPI

Alona Mary Yacobovsky, DPT, CWS, COMT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1003119587
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28459 Issued in CA
Practice address
8555 Station Village LN Apt 3217
San Diego, CA 92108-6542
Phone
(702) 525-9299
NPI assigned
Dec 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 28459 CA Primary

Addresses

Primary practice location

8555 Station Village LN Apt 3217
San Diego, CA 92108-6542

Mailing address

8555 Station Village LN Apt 3217
San Diego, CA 92108-6542
Phone (702) 525-9299

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
28459CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Care Therapeutic Services Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1003119587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 STATION VILLAGE LN APT 3217",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921086542",
            "telephone_number": "702-525-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8555 STATION VILLAGE LN APT 3217",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921086542",
            "telephone_number": "702-525-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACOBOVSKY",
        "first_name": "ALONA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "DPT, CWS, COMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "28459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.