Individual provider Active NPI

Jacklyn Yee, D.P.T., P.T.

  • Physical Therapist
  • Marlton, NJ
National Provider Identifier
1356690317
Registry record updated Mar 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT022257 Issued in PA
Practice address
1906 Woodhollow Dr
Marlton, NJ 08053-1051
Phone
(732) 672-9054
NPI assigned
Sep 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT022257 PA Primary

Addresses

Primary practice location

1906 Woodhollow Dr
Marlton, NJ 08053-1051

Mailing address

1906 Woodhollow Dr
Marlton, NJ 08053-1051

Other practice location 1

45 Eleanor Dr
Kendall Park, NJ 08824-1815
Phone (732) 672-9054

Other practice location 2

207 Ridge Rd
Southampton, NJ 08088-3509
Phone (732) 672-9054

Other identifiers 1

IdentifierTypeStateIssuer
302213QHHOtherPAMEDICARE GROUP MEMBER PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131213000558 PA Practitioner - Physical Therapist in Private Practice 9739316902 Reassigns benefits to 1 organization
I20181114000411 NJ Practitioner - Physical Therapist in Private Practice 9739316902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabclinics SPT IncGroup PAC ID 7113834102, 101 clinicians

Practice addresses (Care Compare)

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062-2623
Phone (856) 478-0275

2144 Route 130 N
Unit 12 Novacare Rehabilitation
Bordentown, NJ 08505-4628
Phone (609) 817-1177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT Inc. Current Accepting new patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince Jan 1, 2013 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Aug 17, 2019 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients
Rehabclinics SPT Inc CurrentSince Aug 17, 2019 Accepting new patients
Ultima Rehab-NJ LLC PastSince Oct 1, 2018 Accepting new patients
Rehabclinics SPT Inc Past Accepting new patients

Locations

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275

2285 Cross Rd
Ste 3
Glenside, PA 19038
Phone (215) 887-2001

730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677888000000",
    "number": "1356690317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 WOODHOLLOW DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 WOODHOLLOW DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531051",
            "telephone_number": "732-672-9054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Eleanor Dr",
            "address_purpose": "LOCATION",
            "city": "Kendall Park",
            "state": "NJ",
            "postal_code": "088241815",
            "country_code": "US",
            "telephone_number": "732-672-9054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "NJ",
            "postal_code": "080883509",
            "country_code": "US",
            "telephone_number": "732-672-9054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEE",
        "first_name": "JACKLYN",
        "credential": "D.P.T., P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP MEMBER PTAN",
            "identifier": "302213QHH",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2023; 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.