Individual provider Active NPI

Yavette Michelle Reczek, LPTA

  • Registered Nurse
  • Ormond Beach, FL
National Provider Identifier
1023132826
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9178636 Issued in FL
Practice address
170 N Center St
Ormond Beach, FL 32174-5186
Phone
(386) 672-7113
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9178636 FL Primary
Physical Therapy Assistant 225200000X PTA 18328 FL

Addresses

Primary practice location

170 N Center St
Ormond Beach, FL 32174-5186

Mailing address

4582 Miles Dr
Port Orange, FL 32127-9242
Phone (386) 756-0436

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

LicenseStateTypeSpecialty
RN9178636FLMDRegistered Nurse
PTA 18328FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1023132826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4582 MILES DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279242",
            "telephone_number": "386-756-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N CENTER ST",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745186",
            "telephone_number": "386-672-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECZEK",
        "first_name": "YAVETTE",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9178636",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 18328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.