Jayne Marie Yatczak, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201003290 Issued in MI

Practice address

936 Madison St
Ypsilanti, MI 48197-5294

Phone

(734) 961-5450

NPI assigned

Aug 30, 2021

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1063189728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 MADISON ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481975294",
            "telephone_number": "734-961-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 MADISON ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481975294",
            "telephone_number": "734-961-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATCZAK",
        "first_name": "JAYNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201003290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Yahya, MD
• Yancey Care LLC
• Ahmad Moayad Yasin, M.D.
• Hikmat Yassine, PHARMD
• Leen A Yassine
• Ali Yazdani, M.D.
• Sunita Yedavally, DO
• Gary S Yee, OD
• Kristen Alexis Yee, M.D.
• Prathusha Yerramilli, MD

• Occupational Therapist in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.