Individual provider Active NPI

Peter Yu

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1033753652
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
35237 Issued in FL
Practice address
400 Edgewood Ave S
Jacksonville, FL 32254-3728
Phone
(848) 468-7900
NPI assigned
Nov 6, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 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 35237 FL Primary

Addresses

Primary practice location

400 Edgewood Ave S
Jacksonville, FL 32254-3728

Mailing address

400 Edgewood Ave S
Jacksonville, FL 32254-3728
Phone (848) 468-7900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240422001115 FL Practitioner - Physical Therapist in Private Practice 3779922984 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35237FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Motion RX Health and Performance PLLC Physical Therapist CurrentSince Mar 14, 2024 Accepting new patients

Locations

7901 Baymeadows Way
Ste 5
Jacksonville, FL 32256
Phone (904) 414-3796

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": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1033753652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EDGEWOOD AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322543728",
            "telephone_number": "848-468-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EDGEWOOD AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322543728",
            "telephone_number": "848-468-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "PETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "35237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.