Individual provider Active NPI

Tomi L. Yacker, BSN, NCTMB, LMT

  • Mechanotherapist
  • Beach Park, IL
National Provider Identifier
1366778334
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
227.009648 Issued in IL
Practice address
38775 N Gilbert Ave
Beach Park, IL 60099-3859
Phone
(224) 374-7808
Fax
(847) 623-7837
NPI assigned
Oct 27, 2009
Last updated
Oct 27, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 227.009648 IL Primary

Addresses

Primary practice location

38775 N Gilbert Ave
Beach Park, IL 60099-3859

Mailing address

38775 N Gilbert Ave
Beach Park, IL 60099-3859
Phone (224) 374-7808

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)
Not enrolled
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
227.009648ILMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1366778334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38775 N GILBERT AVE",
            "city": "BEACH PARK",
            "state": "IL",
            "postal_code": "600993859",
            "telephone_number": "224-374-7808",
            "fax_number": "847-623-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38775 N GILBERT AVE",
            "city": "BEACH PARK",
            "state": "IL",
            "postal_code": "600993859",
            "telephone_number": "224-374-7808",
            "fax_number": "847-623-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACKER",
        "first_name": "TOMI",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "BSN, NCTMB, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "IL",
            "license": "227.009648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beach Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.