Individual provider Active NPI

Juliana Caroline Yavorsky, DPT

  • Physical Therapist
  • Palm Desert, CA
National Provider Identifier
1245690890
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT296677 Issued in CA
Practice address
42080 State St Ste a
Palm Desert, CA 92211-5173
Phone
(760) 568-2894
Fax
(760) 346-4179
NPI assigned
Feb 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 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 PT296677 CA Primary

Addresses

Primary practice location

42080 State St Ste a
Palm Desert, CA 92211-5173

Mailing address

42080 State St Ste a
Palm Desert, CA 92211-5173
Phone (760) 568-2894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190621000532 CA Practitioner - Physical Therapist in Private Practice 1658670641 Reassigns benefits to 1 organization
I20230426000222 ID Practitioner - Physical Therapist in Private Practice 1658670641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ieg Zenergy, LLCGroup PAC ID 9830477587, 7 clinicians
Jordan Physical Therapy Center IncGroup PAC ID 8325093693, 7 clinicians

Practice addresses (Care Compare)

245 Raven Rd
Suite B
Ketchum, ID 83340
Phone (208) 726-7246

42080 State St
Suite a
Palm Desert, CA 92211-5173
Phone (760) 568-2894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT296677CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Zenergy Partners LLC Physical Therapist CurrentSince Feb 26, 2026 Accepting new patients
Ieg Zenergy, LLC Physical Therapist CurrentSince Apr 1, 2023 Accepting new patients
Jordan Physical Therapy Center Inc Physical Therapist CurrentSince Nov 15, 2021 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

42080 State St
#A
Palm Desert, CA 92211
Phone (760) 568-2894

Organizations & group practices 5

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": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1245690890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42080 STATE ST STE A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922115173",
            "telephone_number": "760-568-2894",
            "fax_number": "760-346-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42080 STATE ST STE A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922115173",
            "telephone_number": "760-568-2894",
            "fax_number": "760-346-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAVORSKY",
        "first_name": "JULIANA",
        "middle_name": "CAROLINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT296677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.