Individual provider Active NPI

Justin Yeh

  • Physical Therapist
  • Englewood, CO
National Provider Identifier
1386242048
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP011054T Issued in CO
Practice address
205 W Hampden Ave
Englewood, CO 80110-2401
Phone
(303) 789-0772
NPI assigned
Oct 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 1336523 TX
Physical Therapist 225100000X WA
Physical Therapist 225100000X PT303969 CA
Physical Therapist 225100000X CP011054T CO Primary

Addresses

Primary practice location

205 W Hampden Ave
Englewood, CO 80110-2401

Mailing address

1055 Wilshire Blvd Ste 1501
Los Angeles, CA 90017-2498
Phone (213) 624-3556

Other practice location 1

15600 NE 8th St Ste E6
Bellevue, WA 98008-4087
Phone (425) 214-7679

Other practice location 2

3355 S Wadsworth Blvd Unit F107
Lakewood, CO 80227-5123
Phone (303) 980-6267

Other practice location 3

16636 House Hahl Rd
Cypress, TX 77433-5357
Phone (832) 810-0274

Other practice location 4

1055 Wilshire Blvd Ste 1501
Los Angeles, CA 90017-2498
Phone (213) 624-3556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240521003106 WA Practitioner - Physical Therapist in Private Practice 0840632972 Reassigns benefits to 1 organization
I20250221002592 CA Practitioner - Physical Therapist in Private Practice 0840632972 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1336523TXMDPhysical Medicine & Rehabilitation Physician
PT303969CAMDPhysical Therapist
CP011054TCOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select CS Physical Therapy, P.C. CurrentSince Dec 19, 2024 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince May 28, 2024 Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince Dec 19, 2024 Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince May 28, 2024 Accepting new patients
MVP Physical Therapy, LLC Physical Therapist PastSince Jun 5, 2018 Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist PastSince Mar 11, 2025 Accepting new patients
Select Physical Therapy Holdings Inc PastSince Mar 11, 2025 Accepting new patients

Locations

420 E 3rd St
Ste 701
Los Angeles, CA 90013
Phone (213) 325-1100

1055 Wilshire Blvd
Ste 1501
Los Angeles, CA 90017
Phone (213) 624-3556

2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

15600 NE 8th St
Ste E6
Bellevue, WA 98008
Phone (425) 214-7679

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1386242048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 WILSHIRE BLVD STE 1501",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172498",
            "telephone_number": "213-624-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W HAMPDEN AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102401",
            "telephone_number": "303-789-0772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15600 NE 8th St Ste E6",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980084087",
            "country_code": "US",
            "telephone_number": "425-214-7679",
            "fax_number": "425-201-0985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3355 S Wadsworth Blvd Unit F107",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802275123",
            "country_code": "US",
            "telephone_number": "303-980-6267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16636 House Hahl Rd",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774335357",
            "country_code": "US",
            "telephone_number": "832-810-0274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 Wilshire Blvd Ste 1501",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900172498",
            "country_code": "US",
            "telephone_number": "213-624-3556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEH",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-14",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "1336523",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT303969",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP011054T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.