Active NPI
Cathelyn Yabut, PTA
- Physical Therapy Assistant
- Bronx, NY
National Provider Identifier
1013635077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 010872-1
- Practice address
- 6585 Broadway
Bronx, NY 10471-2050 - Phone
- (718) 549-2200
- NPI assigned
- Aug 16, 2022
- Last updated
- Aug 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 010872-1 | NY | Primary |
Addresses
Primary practice location
6585 Broadway
Bronx, NY 10471-2050
Mailing address
6 Bush St Apt a
Bergenfield, NJ 07621-2413
Phone (201) 540-7595
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010872-1 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1013635077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BUSH ST APT A",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076212413",
"telephone_number": "201-540-7595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6585 BROADWAY",
"city": "BRONX",
"state": "NY",
"postal_code": "104712050",
"telephone_number": "718-549-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YABUT",
"first_name": "CATHELYN",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-16",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "010872-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.