Active NPI
Nicole Youkana, PT, DPT
- Physical Therapist
- Fort Mill, SC
National Provider Identifier
1376919746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P15857
- Practice address
- 870 Gold Hill Rd # Re
103
Fort Mill, SC 29708-8985 - Phone
- (803) 835-6000
- NPI assigned
- Aug 19, 2015
- Sex
- Female
- 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 | P15857 | NC | Primary |
Addresses
Primary practice location
870 Gold Hill Rd # Re
103
Fort Mill, SC 29708-8985
Mailing address
10531 Paces Ave
932
Matthews, NC 28105-2719
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8105 | SC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465689600000",
"number": "1376919746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10531 PACES AVE",
"address_2": "932",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281052719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 GOLD HILL RD # RE",
"address_2": "103",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088985",
"telephone_number": "803-835-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUKANA",
"first_name": "NICOLE",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2016-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P15857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.