Individual provider Active NPI

Jason P Yunker, P.T.

  • Physical Therapist
  • Owensboro, KY
National Provider Identifier
1083615702
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003737 Issued in KY
Practice address
3221 Frederica St
Suite B
Owensboro, KY 42301-6086
Phone
(270) 926-2212
Fax
(270) 926-2215
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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 003737 KY Primary

Addresses

Primary practice location

3221 Frederica St
Suite B
Owensboro, KY 42301-6086

Mailing address

3221 Frederica St
Suite B
Owensboro, KY 42301-6086
Phone (270) 926-2212

Other identifiers 4

IdentifierTypeStateIssuer
000000190431OtherKYANTHEM
87001756MedicaidKY
P00204194OtherKYRR MEDICARE
K005560OtherKYTRICARE

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

State licenses

LicenseStateTypeSpecialty
003737KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oa Therapy LLC Physical Therapist PastSince Apr 20, 2021 Accepting new patients
Orthopaedics & Sports Medicine Owensboro PSC Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1083615702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 FREDERICA ST",
            "address_2": "SUITE B",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016086",
            "telephone_number": "270-926-2212",
            "fax_number": "270-926-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 FREDERICA ST",
            "address_2": "SUITE B",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016086",
            "telephone_number": "270-926-2212",
            "fax_number": "270-926-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNKER",
        "first_name": "JASON",
        "middle_name": "P",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "003737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000190431",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87001756",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00204194",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "K005560",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.