Active NPI
Julie Anne Mayonte Ycoy, OTR
- Physical Therapist
- Knoxville, TN
National Provider Identifier
1225425812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5050
- Practice address
- 10133 Sherrill Blvd Ste 200
Knoxville, TN 37932-3347 - Phone
- (754) 802-5003
- Fax
- (855) 232-8604
- NPI assigned
- Apr 21, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3309 | NM | |
| Physical Therapist | 225100000X | 5050 | SC | Primary |
Addresses
Primary practice location
10133 Sherrill Blvd Ste 200
Knoxville, TN 37932-3347
Mailing address
10133 Sherrill Blvd Ste 200
Knoxville, TN 37932-3347
Phone (754) 802-5003
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5050 | SC | MD | Professional Counselor |
| 3309 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medpro Healthcare Staffing | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1225425812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10133 SHERRILL BLVD STE 200",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379323347",
"telephone_number": "754-802-5003",
"fax_number": "855-232-8604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10133 SHERRILL BLVD STE 200",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379323347",
"telephone_number": "754-802-5003",
"fax_number": "855-232-8604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YCOY",
"first_name": "JULIE ANNE",
"middle_name": "MAYONTE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-21",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "3309",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "5050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.