Active NPI
Kerri Joanne Yacovelli, MSPT
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1083672976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-012699-L
- Practice address
- 11596 Roosevelt Blvd
Philadelphia, PA 19116-3032 - Phone
- (215) 677-8200
- Fax
- (215) 969-2681
- NPI assigned
- May 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-012699-L | PA | Primary |
Addresses
Primary practice location
11596 Roosevelt Blvd
Philadelphia, PA 19116-3032
Mailing address
342 Acorn Dr
Warminster, PA 18974-3661
Phone (215) 672-0151
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT-012699-L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics Galaxy Inc | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Greenfield, WI
- NPI 1447250006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1083672976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 ACORN DR",
"city": "WARMINSTER",
"state": "PA",
"postal_code": "189743661",
"telephone_number": "215-672-0151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11596 ROOSEVELT BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191163032",
"telephone_number": "215-677-8200",
"fax_number": "215-969-2681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YACOVELLI",
"first_name": "KERRI",
"middle_name": "JOANNE",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT-012699-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.