Individual provider Active NPI

Chet R Yoder, MPT DPT

  • Physical Therapist
  • Placerville, CA
National Provider Identifier
1003451204
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39791 Issued in CA
Practice address
5798 Hollyberry LN
Placerville, CA 95667-8613
Phone
(209) 273-9844
NPI assigned
Nov 12, 2019
Last updated
Nov 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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 39791 CA Primary

Addresses

Primary practice location

5798 Hollyberry LN
Placerville, CA 95667-8613

Mailing address

5798 Hollyberry LN
Placerville, CA 95667-8613

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL chet@ourhealthculture.com

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
2379NDMDEndodontist
39791CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1003451204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5798 HOLLYBERRY LN",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956678613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5798 HOLLYBERRY LN",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956678613",
            "telephone_number": "209-273-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "CHET",
        "middle_name": "R",
        "credential": "MPT DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chet@ourhealthculture.com",
            "affiliation": "N",
            "address_1": "5798 Hollyberry Ln",
            "city": "Placerville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956678613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.