Individual provider Active NPI

Matthew Neil Yansick, PT, DPT

  • Physical Therapist
  • Enola, PA
National Provider Identifier
1053151977
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT032300 Issued in PA
Practice address
4515 Valley Rd Ste B
Enola, PA 17025-1401
Phone
(717) 732-8131
NPI assigned
May 29, 2024
Last updated
May 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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 PT032300 PA Primary

Addresses

Primary practice location

4515 Valley Rd Ste B
Enola, PA 17025-1401

Mailing address

140 W Granada Ave
Hershey, PA 17033-1537
Phone (856) 952-1545

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jun 2, 2024 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

4515 Valley Rd
Ste B
Enola, PA 17025
Phone (717) 732-8131

55 W Shortcut Rd
Newport, PA 17074
Phone (423) 541-5490

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1053151977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W GRANADA AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331537",
            "telephone_number": "856-952-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 VALLEY RD STE B",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251401",
            "telephone_number": "717-732-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANSICK",
        "first_name": "MATTHEW",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enola, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.