Individual provider Active NPI

Jason Chit Lum Yu, PT,DPT,OMT,ATC,CSCS

  • Physical Therapist
  • Larkspur, CA
National Provider Identifier
1093848830
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
33538 Issued in CA
Practice address
5 Bon Air Rd
Ste a - 105
Larkspur, CA 94939-1143
Phone
(415) 927-2007
Fax
(415) 927-7272
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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 33538 CA Primary

Addresses

Primary practice location

5 Bon Air Rd
Ste a - 105
Larkspur, CA 94939-1143

Mailing address

326 Funston Ave
San Francisco, CA 94118-2116
Phone (415) 225-7537

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
33538CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern California Center for Well-Being PastSince Apr 9, 2023 Accepting new patients
Lisa Green Physical Therapy, PC PastSince Apr 6, 2023 Accepting new patients
Pacific Therx, Inc. Past Accepting new patients
Pacific Therx Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1093848830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 FUNSTON AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941182116",
            "telephone_number": "415-225-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BON AIR RD",
            "address_2": "STE A - 105",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391143",
            "telephone_number": "415-927-2007",
            "fax_number": "415-927-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "JASON",
        "middle_name": "CHIT LUM",
        "name_prefix": "Dr.",
        "credential": "PT,DPT,OMT,ATC,CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larkspur, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.