Active NPI
Jean Ann Yzer, P.T.
- Physical Therapist
- Pembroke Pines, FL
National Provider Identifier
1265580591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT9648
- Practice address
- 275 NW 107TH Ave
Pembroke Pines, FL 33026-4061 - Phone
- (954) 438-5655
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT9648 | FL | Primary |
Addresses
Primary practice location
275 NW 107TH Ave
Pembroke Pines, FL 33026-4061
Mailing address
275 NW 107TH Ave
Pembroke Pines, FL 33026-4061
Phone (954) 438-5655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AF386Z | Other | FL | MEDICARE LEGACY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1265580591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 NW 107TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330264061",
"telephone_number": "954-438-5655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 NW 107TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330264061",
"telephone_number": "954-438-5655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YZER",
"first_name": "JEAN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT9648",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE LEGACY",
"identifier": "AF386Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.