Individual provider Active NPI

Michelle Yarnell, PTA

  • Physical Therapy Assistant
  • Coppell, TX
National Provider Identifier
1184280554
Registry record updated May 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2145116 Issued in TX
Practice address
546 E Sandy Lake Rd Ste 110
Coppell, TX 75019-5787
Phone
(972) 393-8067
NPI assigned
May 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2145116 TX Primary

Addresses

Primary practice location

546 E Sandy Lake Rd Ste 110
Coppell, TX 75019-5787

Mailing address

7480 Bayshore Dr Apt 405
Treasure Island, FL 33706-3565

Other practice location 1

6001 Harris Pkwy
Fort Worth, TX 76132-4103
Phone (817) 370-6350

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

LicenseStateTypeSpecialty
2145116TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1557532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557532800000",
    "number": "1184280554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7480 BAYSHORE DR APT 405",
            "city": "TREASURE ISLAND",
            "state": "FL",
            "postal_code": "337063565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 E SANDY LAKE RD STE 110",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195787",
            "telephone_number": "972-393-8067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 Harris Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761324103",
            "country_code": "US",
            "telephone_number": "817-370-6350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YARNELL",
        "first_name": "MICHELLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-11",
        "last_updated": "2019-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2145116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2019; 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.