Active NPI
Mark Yu
- Physical Therapist
- Mt Pleasant, TX
National Provider Identifier
1285114256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2003 N Edwards Ave
Mt Pleasant, TX 75455-2010 - Phone
- (903) 572-5511
- NPI assigned
- Aug 18, 2018
- Sex
- Male
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
2003 N Edwards Ave
Mt Pleasant, TX 75455-2010
Mailing address
1708 Shadywood LN
Apt 28
Mt Pleasant, TX 75455-5642
Phone (325) 500-1287
Other practice location 1
1708 Shadywood Ln Apt 28
MT Pleasant, TX 75455-5642
Phone (325) 500-1287
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": "1534550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590710400000",
"number": "1285114256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 SHADYWOOD LN",
"address_2": "APT 28",
"city": "MT PLEASANT",
"state": "TX",
"postal_code": "754555642",
"telephone_number": "325-500-1287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 N EDWARDS AVE",
"city": "MT PLEASANT",
"state": "TX",
"postal_code": "754552010",
"telephone_number": "903-572-5511"
}
],
"practiceLocations": [
{
"address_1": "1708 Shadywood Ln Apt 28",
"address_purpose": "LOCATION",
"city": "MT Pleasant",
"state": "TX",
"postal_code": "754555642",
"country_code": "US",
"telephone_number": "325-500-1287",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YU",
"first_name": "MARK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-18",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.