Igor Yatskar, M.S., P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11044 Issued in MA

Practice address

120 Dudley St Ste 201
Providence, RI 02905-2431

Phone

(401) 941-1347

Fax

(617) 445-7874

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in RI, MA2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Elmwood Home Care, Inc.

  • Home Health Agency
  • Providence, RI
  • NPI 1184073058

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

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.

• Atlantis Physical Therapy Group,Inc,

  • Physical Therapist
  • Roxbury, MA
  • NPI 1255473153
  Medicare reassignment NPD
• Elmwood Home Care, Inc.

  • Home Health Agency
  • Providence, RI
  • NPI 1184073058
  NPD Authorized official
• Atlantis Physical Therapy

  • Physical Therapist
  • Dorchester, MA
  • NPI 1467594143
  NPD (past) Authorized official
• Riversedge Management PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Somerset, MA
  • NPI 1396977732
  NPD

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1104848993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DUDLEY ST",
            "address_2": "STE 201",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052431",
            "telephone_number": "617-442-3462",
            "fax_number": "617-445-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DUDLEY ST STE 201",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052431",
            "telephone_number": "401-941-1347",
            "fax_number": "617-445-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATSKAR",
        "first_name": "IGOR",
        "credential": "M.S., P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "11044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y67378",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD",
            "identifier": "AA33405",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0703061",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Yarney
• Elif Yartasi Tik, MD
• James J Yashar, M.D
• Yvette E Yatchmink, MD
• Firas Yatim, MD
• Amir Yavari, DDS
• Desiree Ann Yeboah, MD
• Ajay Yechuri, MD
• Alexander Yelisavetskiy, PHARMD
• Julie Yelle, RN

• Physical Therapist in Providence, RI
• Providers in Providence, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.