Individual provider Active NPI

Rebecca Ann Yurko, MPT

  • Physical Therapist
  • Dallas, PA
National Provider Identifier
1215003769
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011699L Issued in PA
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
818046OtherFIRST PRIORITY
445265OtherHEALTH AMERICA ASSURANCE
818045OtherFIRST PRIORITY
352331OtherHEALTH AMERICA ASSURANCE
442566OtherHEALTH AMERICA ASSURANCE
815884OtherFIRST PRIORITY
1523082OtherBLUE 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

LicenseStateTypeSpecialty
PT011699LPAMDPhysical 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.

Verify at the official NPI Registry.