Alyson Yacono, DPT, PT, CERT. DN

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5103 Issued in NM

Practice address

104 Old Las Vegas Highway
Santa Fe, NM 87505

Phone

(505) 992-4995

NPI assigned

Apr 30, 2019

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)

Enrolled

Practice roles

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.

• SF Sports Med & Rehab Inc

  • Physical Therapist
  • Santa Fe, NM
  • NPI 1316933344
  NPD (past)

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1205490752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 MAYNARD ST APT C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012950",
            "telephone_number": "856-371-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 OLD LAS VEGAS HIGHWAY",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-992-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACONO",
        "first_name": "ALYSON",
        "name_prefix": "Dr.",
        "credential": "DPT, PT, CERT. DN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "5103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Richard Wyatt, M.D.
• Christopher Robert Charles Wyndham, MD
• Andrea Leigh Wynn
• Kathryn Susanne Wynne, DDS
• Ying Xiong, CRNA
• Donna Yactor, SLP
• Caroline Naomi Yamashiro
• Katharine S Yanda, MPH, OTR/L
• Yan Yang, M.D.
• Tenzin Yangchen

• Physical Therapist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.