Mike Yasson LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT871868 Issued in DC

Legal business name

MIKE YASSON LLC

Practice address

1525 Half St SW
Washington, DC 20024-3412

Phone

(631) 806-3554

NPI assigned

Jul 11, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Raymond Michael Yasson III, DPT, CSCSNPI 1023486487

Title

Ceo/Founder

Phone

(631) 806-3554

Specialties & licenses 1

Addresses

Other names 1

• Big League Performance and Rehabilitation Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond Michael Yasson III, PT, DPT, CSCS

  • Physical Therapist
  • Washington, DC
  • NPI 1023486487
  NPD Authorized official

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1326524547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 HALF ST SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200243412",
            "telephone_number": "631-806-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 HALF ST SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200243412",
            "telephone_number": "631-806-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE YASSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "YASSON",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "631-806-3554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "DC",
            "license": "PT871868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big League Performance and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabet Mihretu
• Joseph Robert Mijares III, MD
• Mik Healthcare Solutions
• Mariam Mikadze, M.D
• Therese Mikanda
• Mikel Anne Hofmann MD Curacapitol Primary Care Services
• Brenna Mikesell, PA-C
• Bassem Mikhael, MD
• Anita Mikkilineni, M.D.
• Eugene Miknowski, M.D.

• Physical Therapy Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Physical Therapy Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.