Individual provider Active NPI

Zinoviya Yurchyshyn

  • Physical Therapy Assistant
  • Huntingdon Valley, PA
National Provider Identifier
1134572787
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TE011043 Issued in PA
Practice address
1279 June Rd
Huntingdon Valley, PA 19006-8405
Phone
(347) 738-8543
NPI assigned
Jul 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TE011043 PA Primary

Addresses

Primary practice location

1279 June Rd
Huntingdon Valley, PA 19006-8405

Mailing address

1279 June Rd
Huntingdon Valley, PA 19006-8405
Phone (347) 738-8543

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
TE011043PAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1134572787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1279 JUNE RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190068405",
            "telephone_number": "347-738-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1279 JUNE RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190068405",
            "telephone_number": "347-738-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURCHYSHYN",
        "first_name": "ZINOVIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE011043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.