Active NPI
Derek Yeager, PT
- Physical Therapist
- Akron, OH
National Provider Identifier
1386065340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7460
- Practice address
- 525 E Market St
Akron, OH 44304-1619 - Phone
- (330) 375-6591
- NPI assigned
- Dec 18, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 7460 | OH | Primary |
Addresses
Primary practice location
525 E Market St
Akron, OH 44304-1619
Mailing address
100 Meadow Ridge TRL
Doylestown, OH 44230-1635
Phone (330) 658-8033
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7460 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387324800000",
"number": "1386065340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MEADOW RIDGE TRL",
"city": "DOYLESTOWN",
"state": "OH",
"postal_code": "442301635",
"telephone_number": "330-658-8033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E MARKET ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443041619",
"telephone_number": "330-375-6591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEAGER",
"first_name": "DEREK",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-18",
"last_updated": "2013-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "7460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.