Individual provider Active NPI

Paul N Yahner, PT

  • Specialist
  • Windsor, NY
National Provider Identifier
1285674556
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
023062 Issued in NY
Practice address
104 Main St
Suite 1
Windsor, NY 13865-4141
Phone
(607) 655-2305
Fax
(607) 655-2306
NPI assigned
Jun 7, 2006
Last updated
Jun 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 023062 NY Primary

Addresses

Primary practice location

104 Main St
Suite 1
Windsor, NY 13865-4141

Mailing address

104 Main St
Suite 1
Windsor, NY 13865-4141
Phone (607) 655-2305

Other identifiers 1

IdentifierTypeStateIssuer
02533700MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819001289 NY Practitioner - Physical Therapist in Private Practice 9335113067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

88 Chapel St
Suite 1
Windsor, NY 13865-4342
Phone (607) 655-2305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023062NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Windsor Physical Therapy, PC CurrentSince Jan 1, 2008 Accepting new patients
Gary G Parker Jr Physical Therapy PC Past Accepting new patients
Whitney Point Physical Therapy Past Accepting new patients
Whitney Point Physical Therapy PC Past Accepting new patients
Greene Physical Therapy Past Accepting new patients
Chenango Bridge Physical Therapy, P.C. Past Accepting new patients

Locations

104 Main St
Ste 1
Windsor, NY 13865
Phone (607) 655-2305

88 Chapel St
#1
Windsor, NY 13865
Phone (607) 655-2305

Organizations & group practices 6

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1285674556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MAIN ST",
            "address_2": "SUITE 1",
            "city": "WINDSOR",
            "state": "NY",
            "postal_code": "138654141",
            "telephone_number": "607-655-2305",
            "fax_number": "607-655-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAIN ST",
            "address_2": "SUITE 1",
            "city": "WINDSOR",
            "state": "NY",
            "postal_code": "138654141",
            "telephone_number": "607-655-2305",
            "fax_number": "607-655-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAHNER",
        "first_name": "PAUL",
        "middle_name": "N",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "023062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02533700",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.