Amy Lynn Yearwood, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 22110 Issued in FL

Practice address

8399 Bayberry Rd
Jacksonville, FL 32256-4427

Phone

(904) 260-4977

NPI assigned

Sep 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1164730834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 GUMWOOD DR S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322771658",
            "telephone_number": "904-744-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8399 BAYBERRY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564427",
            "telephone_number": "904-260-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEARWOOD",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 22110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Jack Yazigi, M.D.
• Adel Yazji, M.D.
• Christopher Elias Yazji
• Luma Yazji
• Gabriel J. Ybarra, PH.D.
• Alexander J Yeats Jr., MD
• C Yelvington, PT
• Catherine A Yelvington, PT
• Yergin Pulmonary Clinic PA
• Bruce Mitchell Yergin, M.D.

• Physical Therapy Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.