Individual provider Active NPI

Austin Tyler Yoder, DPT, LAT, ATC

  • Physical Therapist
  • Loogootee, IN
National Provider Identifier
1124709902
Registry record updated Aug 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05016151A Issued in IN
Practice address
300 E Broadway St
Loogootee, IN 47553-1708
Phone
(812) 709-3286
NPI assigned
Jul 26, 2023
Last updated
Aug 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2025

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 05016151A IN Primary

Addresses

Primary practice location

300 E Broadway St
Loogootee, IN 47553-1708

Mailing address

1106 Wagner Dr
Washington, IN 47501-1320
Phone (812) 787-1168

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05016151AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin County Urgent Care LLC CurrentSince Aug 17, 2025 Accepting new patients
Harvest Health & Rehab LLC Physical Therapist CurrentSince Aug 17, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754784000000",
    "number": "1124709902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 WAGNER DR",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475011320",
            "telephone_number": "812-787-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BROADWAY ST",
            "city": "LOOGOOTEE",
            "state": "IN",
            "postal_code": "475531708",
            "telephone_number": "812-709-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "AUSTIN",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DPT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-26",
        "last_updated": "2025-08-10",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05016151A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loogootee, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2025; 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.