Jeremy Robert Deles Yabut, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

052049 Issued in NY

Practice address

2735 Henry Hudson Pkwy Ste 103
Bronx, NY 10463-4701

Phone

(718) 884-0444

NPI assigned

May 13, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Netherland Physical Therapy and Occupational Therapy PLLCGroup PAC ID 1850772534, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Netherland Physical Therapy and Occupational Therapy PLLC

  • Physical Therapist
  • Bronx, NY
  • NPI 1972257541
  Medicare reassignment Care Compare group
• Riverdale Physical Therapy PC

  • Physical Therapist
  • Bronx, NY
  • NPI 1538192067
  NPD (past)

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1043068281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KNOLLS CRES APT 1E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104636343",
            "telephone_number": "914-527-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 HENRY HUDSON PKWY STE 103",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634701",
            "telephone_number": "718-884-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YABUT",
        "first_name": "JEREMY ROBERT",
        "middle_name": "DELES",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lai Fan Xue
• Xylem PT PC
• Ayman Yaacoub, PA
• Ghizlane Yaakoubi, M.D.
• Cathelyn Yabut, PTA
• Alexander Yacobson
• Rafik Yacoub, PHARMD
• Christina Yacubich, NP
• Jordan Sara Yadaie
• Mayank Yadav

• Physical Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.