Lisa Yonker, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2012 Issued in ND

Practice address

4674 40TH Ave S
Ste a
Fargo, ND 58104

Phone

(701) 293-7294

Fax

(701) 282-9738

NPI assigned

Aug 4, 2015

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

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revive and Thrive Therapy LLCGroup PAC ID 4587160882, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Revive and Thrive Therapy LLC

  • Physical Therapy Clinic/Center
  • Perham, MN
  • NPI 1134001670

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Rehabauthority, LLC

  • Multi-Specialty Clinic/Center
  • Grand Forks, ND
  • NPI 1730159690

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1164808853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4674 40TH AVE S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044501",
            "telephone_number": "701-293-7294",
            "fax_number": "701-282-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4674 40TH AVE S",
            "address_2": "STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58104",
            "telephone_number": "701-293-7294",
            "fax_number": "701-282-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONKER",
        "first_name": "LISA",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent G Yohe, DOCTOR OF CHIROPRACT
• Mark Gregory Yohe, M.D.
• Erika Lynne Yoney, APRN
• Hope R Yongsmith, MD
• Madison Marie Yonke, MS, LAT, ATC
• Rachel Yonkovich
• Jessica Lyn Yost, RDH
• Fatme Younes, PHARMD
• Jamie Marie Young-Schneider, LPN
• Jenna Rae Young, PHARMD

• Physical Therapist in Fargo, ND
• Providers in Fargo, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.