Individual provider Active NPI

Christina Maria Yannatos, DPT

  • Physical Therapist
  • South Yarmouth, MA
National Provider Identifier
1215582127
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24340 Issued in MA
Practice address
439 Station Ave
South Yarmouth, MA 02664-1849
Phone
(508) 619-7902
Fax
(508) 452-6810
NPI assigned
Aug 7, 2019
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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 24340 MA Primary

Addresses

Primary practice location

439 Station Ave
South Yarmouth, MA 02664-1849

Mailing address

94 King Arthur Drive
Osterville, MA 02655
Phone (508) 619-7902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190910000188 MA Practitioner - Physical Therapist in Private Practice 3476882903 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yannatos Physical Therapy IncGroup PAC ID 8123474269, 4 clinicians

Practice addresses (Care Compare)

1105 Route 28
South Yarmouth, MA 02664-4457
Phone (508) 619-7902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24340MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yannatos Physical Therapy Inc CurrentSince Aug 15, 2023 Accepting new patients
Proex Physical Therapy, LLC CurrentSince Aug 5, 2019 Accepting new patients
Cape Coastal PT, Inc Physical Therapist CurrentSince Apr 10, 2023 Accepting new patients
Proex Physical Therapy, LLC Physical Therapist CurrentSince Aug 5, 2019 Accepting new patients

Locations

10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999

40 Industry Rd
Ste 3
Marstons Mls, MA 02648
Phone (508) 420-0022

439 Station Ave
South Yarmouth, MA 02664
Phone (508) 237-7588

576 Broadhollow Rd
Melville, NY 11747

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1215582127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 KING ARTHUR DRIVE",
            "city": "OSTERVILLE",
            "state": "MA",
            "postal_code": "02655",
            "telephone_number": "508-619-7902",
            "fax_number": "508-452-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 STATION AVE",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026641849",
            "telephone_number": "508-619-7902",
            "fax_number": "508-452-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANNATOS",
        "first_name": "CHRISTINA",
        "middle_name": "MARIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Yarmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.