Organization Active NPI

Yates & Seib, Inc.

  • Clinic/Center
  • Toccoa, GA
National Provider Identifier
1376534735
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
PT001906,PT001873 Issued in GA
Legal business name
YATES & SEIB, INC.
Practice address
100 Hayes St
Toccoa, GA 30577-2067
Phone
(706) 886-3883
Fax
(706) 886-3812
NPI assigned
Nov 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Ellen M. Seib, P.T.NPI 1548456700
Title
Co-Owner
Phone
(706) 886-3883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X PT001906,PT001873 GA Primary

Addresses

Primary practice location

100 Hayes St
Toccoa, GA 30577-2067

Mailing address

100 Hayes St
P.O. Box 399
Toccoa, GA 30577-2067
Phone (706) 886-3883

Other identifiers 1

IdentifierTypeStateIssuer
00817979A, 00817957AMedicaidGA

Other names 1

  • dba physical therapy specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081204000661 GA Part B Supplier - Clinic/Group Practice 9133038672 Receives reassigned benefits from 4 practitioners
Practice locations: Toccoa, GA

National Provider Directory

National Provider Directory

Locations

22 Hayes St
Toccoa, GA 30577
Phone (706) 886-3883

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376534735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HAYES ST",
            "address_2": "P.O. BOX 399",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305772067",
            "telephone_number": "706-886-3883",
            "fax_number": "706-886-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HAYES ST",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305772067",
            "telephone_number": "706-886-3883",
            "fax_number": "706-886-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YATES & SEIB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEIB",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "706-886-3883",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "PT001906,PT001873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00817979A, 00817957A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba physical therapy specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toccoa, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.