Active NPI
Rebecca Ann Yurko, MPT
- Physical Therapist
- Dallas, PA
National Provider Identifier
1215003769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011699L
- Practice address
- 26 Main St
Gem-Riverside Rehab
Dallas, PA 18612-1604 - Phone
- (570) 674-2659
- Fax
- (570) 675-8980
- NPI assigned
- Nov 27, 2006
- Last updated
- Mar 29, 2016
- 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 | PT011699L | PA | Primary |
Addresses
Primary practice location
26 Main St
Gem-Riverside Rehab
Dallas, PA 18612-1604
Mailing address
26 Main St
Gem-Riverside Rehab
Dallas, PA 18612-1604
Phone (570) 674-2659
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 818046 | Other | FIRST PRIORITY | |
| 445265 | Other | HEALTH AMERICA ASSURANCE | |
| 818045 | Other | FIRST PRIORITY | |
| 352331 | Other | HEALTH AMERICA ASSURANCE | |
| 442566 | Other | HEALTH AMERICA ASSURANCE | |
| 815884 | Other | FIRST PRIORITY | |
| 1523082 | Other | BLUE SHIELD |
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 |
|---|---|---|---|
| PT011699L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459209600000",
"number": "1215003769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 MAIN ST",
"address_2": "GEM-RIVERSIDE REHAB",
"city": "DALLAS",
"state": "PA",
"postal_code": "186121604",
"telephone_number": "570-674-2659",
"fax_number": "570-675-8980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 MAIN ST",
"address_2": "GEM-RIVERSIDE REHAB",
"city": "DALLAS",
"state": "PA",
"postal_code": "186121604",
"telephone_number": "570-674-2659",
"fax_number": "570-675-8980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YURKO",
"first_name": "REBECCA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2016-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT011699L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY",
"identifier": "818046",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA ASSURANCE",
"identifier": "445265",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY",
"identifier": "818045",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA ASSURANCE",
"identifier": "352331",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA ASSURANCE",
"identifier": "442566",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY",
"identifier": "815884",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1523082",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.