Yvonne Cecilia Blanco, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305003624 Issued in VA

Practice address

1165 Pepsi PL
Charlottesville, VA 22901-2866

Phone

(434) 951-4200

Fax

(434) 951-4202

NPI assigned

Dec 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Yvonne Cecilia Sayago Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1275716128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 MARSH CT NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303281800",
            "telephone_number": "404-252-2274",
            "fax_number": "404-252-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 PEPSI PL",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012866",
            "telephone_number": "434-951-4200",
            "fax_number": "434-951-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "YVONNE",
        "middle_name": "CECILIA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007929",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305003624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVONNE",
            "last_name": "SAYAGO",
            "middle_name": "CECILIA",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Harold Blair, OT
• Kirstyn Blais
• Shelley Croom Blakey, MED, ATC
• Bethany Blalock, RDN
• Colleen Blanchard, AGACNP-BC
• Randal Steven Blank, M.D.
• Susan K Blank, MD
• Selena M Blankenship, FNP
• Natalie Blatz
• Kathleen Bledsoe, PHARMD

• Physical Therapist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.