Active NPI
Cameron Yeaman, PT, DPT
- Physical Therapist
- Pawtucket, RI
National Provider Identifier
1154879112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT02947
- Practice address
- 545 Pawtucket Ave
Pawtucket, RI 02860-6046 - Phone
- (401) 475-5775
- NPI assigned
- Sep 19, 2016
- 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 | PT02947 | RI | Primary |
| Physical Therapist | 225100000X | 22393 | MA |
Addresses
Primary practice location
545 Pawtucket Ave
Pawtucket, RI 02860-6046
Mailing address
24 Oak Square Ave
#2
Brighton, MA 02135-2517
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Colorado | Current | Accepting new patients |
Interoperability endpoints
- cyeaman180563@direct.childrenscolorado.org
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.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474243200000",
"number": "1154879112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 OAK SQUARE AVE",
"address_2": "#2",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 PAWTUCKET AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028606046",
"telephone_number": "401-475-5775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEAMAN",
"first_name": "CAMERON",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-19",
"last_updated": "2016-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT02947",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "22393",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.