Active NPI
Yorick Wijting, PT, DPT
- Physical Therapist
- Gilroy, CA
National Provider Identifier
1366967762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT292141
- Practice address
- 9460 N Name Uno Ste 250
Gilroy, CA 95020-3538 - Phone
- (408) 707-0234
- NPI assigned
- Aug 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | PT292141 | CA | Primary |
Addresses
Primary practice location
9460 N Name Uno Ste 250
Gilroy, CA 95020-3538
Mailing address
PO Box 520
San Juan Bautista, CA 95045-0520
Other practice location 1
520 Brown Rd
San Juan Bautista, CA 95045-9676
Phone (423) 309-9977
Other practice location 2
929 Pacific St
Monterey, CA 93940-4447
Phone (831) 373-1209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171018003408 | CA | Practitioner - Physical Therapist in Private Practice | 7810263829 | Practice locations: Gilroy, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9460 N Name Uno
Suite 250
Gilroy, CA 95020-3538
Phone (408) 707-0234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT292141 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yorick Wijting, PT | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Gilroy, CA
- NPI 1225591613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1366967762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 520",
"city": "SAN JUAN BAUTISTA",
"state": "CA",
"postal_code": "950450520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9460 N NAME UNO STE 250",
"city": "GILROY",
"state": "CA",
"postal_code": "950203538",
"telephone_number": "408-707-0234"
}
],
"practiceLocations": [
{
"address_1": "520 Brown Rd",
"address_purpose": "LOCATION",
"city": "San Juan Bautista",
"state": "CA",
"postal_code": "950459676",
"country_code": "US",
"telephone_number": "423-309-9977",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "929 Pacific St",
"address_purpose": "LOCATION",
"city": "Monterey",
"state": "CA",
"postal_code": "939404447",
"country_code": "US",
"telephone_number": "831-373-1209",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIJTING",
"first_name": "YORICK",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-07",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT292141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.