Organization Active NPI

Yaroslav Mukha

  • Physical Therapist
  • Huntingdon Valley, PA
National Provider Identifier
1205536620
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
YAROSLAV MUKHA
Practice address
3456 Heather Rd
Huntingdon Valley, PA 19006-4022
Phone
(267) 255-0684
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Dr. Yaroslav Mukha, DPT, OCSNPI 1790035376
Title
Physical Therapist
Phone
(267) 255-0684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3456 Heather Rd
Huntingdon Valley, PA 19006-4022

Mailing address

3456 Heather Rd
Huntingdon Valley, PA 19006-4022
Phone (267) 255-0684

Other names 1

  • Yaroslav Mukha Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1205536620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 HEATHER RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064022",
            "telephone_number": "267-255-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 HEATHER RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064022",
            "telephone_number": "267-255-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAROSLAV MUKHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-05",
        "status": "A",
        "authorized_official_last_name": "MUKHA",
        "authorized_official_first_name": "YAROSLAV",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "267-255-0684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yaroslav Mukha",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.