Individual provider Active NPI

Erin Elizabeth Yankovec, PHYSICAL THERAPIST

  • Physical Therapist
  • Chico, CA
National Provider Identifier
1104450477
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT293224 Issued in CA
Practice address
1430 Esplanade Ste 8
Chico, CA 95926-3366
Phone
(308) 940-2215
Fax
(530) 894-0285
NPI assigned
Feb 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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 PT293224 CA Primary

Addresses

Primary practice location

1430 Esplanade Ste 8
Chico, CA 95926-3366

Mailing address

1430 Esplanade Ste 8
Chico, CA 95926-3366
Phone (530) 894-0221

Other identifiers 1

IdentifierTypeStateIssuer
10746OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230927003659 CA Practitioner - Physical Therapist in Private Practice 2860846656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of North Dakota School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valponiandwagner Physical Therapy, IncGroup PAC ID 7911076518, 3 clinicians

Practice addresses (Care Compare)

1430 Esplanade
Suite 8
Chico, CA 95926-3366
Phone (530) 894-0221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT293224CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Valponi&Wagner Physical Therapy, Inc Physical Therapist CurrentSince Jul 17, 2023 Accepting new patients

Locations

1430 The Esplanade
Ste 8
Chico, CA 95926
Phone (530) 894-0221

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.

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1104450477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 ESPLANADE STE 8",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263366",
            "telephone_number": "530-894-0221",
            "fax_number": "530-894-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 ESPLANADE STE 8",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263366",
            "telephone_number": "308-940-2215",
            "fax_number": "530-894-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANKOVEC",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT293224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "10746",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.