Sopheap Yi, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015630 Issued in PA

Practice address

520 Hedge Row LN
Palmyra, PA 17078-8651

Phone

(717) 926-6677

Fax

(717) 838-4581

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• 'Matt' Yi Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Central Penn in Home Therapy

  • Physical Therapy Clinic/Center
  • Lebanon, PA
  • NPI 1467859405

  Physical Therapist

  NPD (past) Authorized official

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1114963998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 HEDGE ROW LN",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170788651",
            "telephone_number": "717-926-6677",
            "fax_number": "717-838-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 HEDGE ROW LN",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170788651",
            "telephone_number": "717-926-6677",
            "fax_number": "717-838-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "SOPHEAP",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "'MATT'",
            "last_name": "YI",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cindy Lou Wert, PHARMACIST
• Laurel Wiegand, MD
• Katlyn Elizabeth Wolf, RN
• Esther Mele Wolford, O.D.
• Charles Jeremy Yasinski, MS, ATC
• Emily Yohman
• Elizabeth A Zugay, DPT
• Lindsey Zulkosky, DPT

• Physical Therapist in Palmyra, PA
• Providers in Palmyra, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.