Yvette Pieniadz Ewens, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305214647 Issued in VA

Practice address

863 W Oglethorpe Hwy Ste 210
Hinesville, GA 31313-4491

Phone

(912) 368-0534

Fax

(912) 368-0537

NPI assigned

Mar 8, 2011

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

• Yvette Pieniadz Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 28, 2022.

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1124326673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 E WADSWORTH PARK DR STE 230",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208096",
            "telephone_number": "385-308-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 W OGLETHORPE HWY STE 210",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134491",
            "telephone_number": "912-368-0534",
            "fax_number": "912-368-0537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 First Village Dr",
            "address_purpose": "LOCATION",
            "city": "Pinehurst",
            "state": "NC",
            "postal_code": "283749495",
            "country_code": "US",
            "telephone_number": "910-235-2713",
            "fax_number": "910-235-4663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EWENS",
        "first_name": "YVETTE",
        "middle_name": "PIENIADZ",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL11117",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVETTE",
            "last_name": "PIENIADZ",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Michelle Bernette Fashaw

• All providers in Hinesville, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.