Individual provider Active NPI

Jenny Sue Yoakum, PT

  • Physical Therapist
  • Clearwater, FL
National Provider Identifier
1245545110
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22662 Issued in FL
Practice address
430 Morton Plant St
Clearwater, FL 33756-3398
Phone
(727) 461-8289
NPI assigned
Aug 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 22662 FL Primary
Physical Therapist 225100000X 009483 OH

Addresses

Primary practice location

430 Morton Plant St
Clearwater, FL 33756-3398

Mailing address

4333 Ridgemoor Dr N
Palm Harbor, FL 34685-3172
Phone (727) 254-4585

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
009483OHMDPhysical Therapist
22662FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1245545110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 RIDGEMOOR DR N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853172",
            "telephone_number": "727-254-4585",
            "fax_number": "727-254-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MORTON PLANT ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563398",
            "telephone_number": "727-461-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOAKUM",
        "first_name": "JENNY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "22662",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "009483",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.