Nina Rostrup Yoon, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-013679 Issued in AZ

Practice address

6840 E Brown Rd Ste 104
Mesa, AZ 85207-3759

Phone

(480) 719-8080

Fax

(480) 981-8595

NPI assigned

Nov 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Colorado School of Medicine, Aurora, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Petersen Physical Therapy PCGroup PAC ID 5991794117, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Petersen Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Tempe, AZ
  • NPI 1578673562
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1225745839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 E BASELINE RD STE C5",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831506",
            "telephone_number": "480-833-1005",
            "fax_number": "480-833-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 E BROWN RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073759",
            "telephone_number": "480-719-8080",
            "fax_number": "480-981-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "NINA",
        "middle_name": "ROSTRUP",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-013679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leopold K Yin, MD
• Alexis Yip
• Yogi Healthcare LLC
• Cassidy Yonis
• Zachary Yono
• Russell D York, DMD
• Gerald Lewis Yospur, M.D.
• Carianne M Yost, M.S., CFY-SLP
• Amanda Young, LMT
• Amelia Rose Young, PA-C

• Physical Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.