Individual provider Active NPI

Christine Anne Yurk, DPT

  • Physical Therapist
  • Sheboygan, WI
National Provider Identifier
1023626074
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1500924 Issued in WI
Practice address
3821 Kohler Memorial Dr Ste 102
Sheboygan, WI 53081-3600
Phone
(920) 208-9648
NPI assigned
Jul 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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 1500924 WI Primary

Addresses

Primary practice location

3821 Kohler Memorial Dr Ste 102
Sheboygan, WI 53081-3600

Mailing address

6828 Wandawega Cir
Mequon, WI 53092-8514
Phone (920) 279-5440

Other names 1

  • Christine Anne Lichtfuss Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260507000937 WI Practitioner - Physical Therapist in Private Practice 9830667955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4000 Enterprise Dr
Sheboygan, WI 53083-2245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1500924WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Resources Inc Physical Therapist PastSince Jul 27, 2020 Accepting new patients
Greenfield Rehabilitation Agency, Inc. Physical Therapist PastSince Jul 27, 2020 Accepting new patients

Organizations & group practices 3

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": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1023626074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6828 WANDAWEGA CIR",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530928514",
            "telephone_number": "920-279-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 KOHLER MEMORIAL DR STE 102",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813600",
            "telephone_number": "920-208-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURK",
        "first_name": "CHRISTINE",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "1500924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "LICHTFUSS",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.