Active NPI
Casey D Yurista, DPT
- Physical Therapist
- Vienna, VA
National Provider Identifier
1144878497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305214520
- Practice address
- 8320 Old Courthouse Rd Ste 410
Vienna, VA 22182-3848 - Phone
- (703) 734-2889
- Fax
- (703) 734-2139
- NPI assigned
- Aug 29, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 044661 | NY | |
| Physical Therapist | 225100000X | 2305214520 | VA | Primary |
Addresses
Primary practice location
8320 Old Courthouse Rd Ste 410
Vienna, VA 22182-3848
Mailing address
8320 Old Courthouse Rd Ste 410
Vienna, VA 22182-3848
Phone (703) 734-2889
Other practice location 1
506 Campbell Ave
Troy, NY 12180-6243
Phone (518) 203-6761
Other practice location 2
290 Speigletown Rd
Troy, NY 12182-1124
Phone (518) 279-2740
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044661 | NY | MD | Physical Therapist |
| 2305214520 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness in Motion Boston | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1144878497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8320 OLD COURTHOUSE RD STE 410",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823848",
"telephone_number": "703-734-2889",
"fax_number": "703-734-2139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8320 OLD COURTHOUSE RD STE 410",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823848",
"telephone_number": "703-734-2889",
"fax_number": "703-734-2139"
}
],
"practiceLocations": [
{
"address_1": "506 Campbell Ave",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121806243",
"country_code": "US",
"telephone_number": "518-203-6761",
"fax_number": "518-203-6762",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "290 Speigletown Rd",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121821124",
"country_code": "US",
"telephone_number": "518-279-2740",
"fax_number": "518-203-6762",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YURISTA",
"first_name": "CASEY",
"middle_name": "D",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-29",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "044661",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305214520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.