Active NPI
Anna Jean Yavorcik, PT
- Physical Therapist
- Columbus, OH
National Provider Identifier
1174763114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-001601
- Practice address
- 3705 Olentangy River Rd
Ste 260
Columbus, OH 43214-3467 - Phone
- (614) 586-1220
- Fax
- (614) 586-1237
- NPI assigned
- Mar 4, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-001601 | OH | Primary |
Addresses
Primary practice location
3705 Olentangy River Rd
Ste 260
Columbus, OH 43214-3467
Mailing address
5350 Frantz Rd
Dublin, OH 43016-4259
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT-001601 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236124800000",
"number": "1174763114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 FRANTZ RD",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430164259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 OLENTANGY RIVER RD",
"address_2": "STE 260",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143467",
"telephone_number": "614-586-1220",
"fax_number": "614-586-1237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAVORCIK",
"first_name": "ANNA",
"middle_name": "JEAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-04",
"last_updated": "2009-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT-001601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.