Justin Yates, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

40QA02256000 Issued in NJ

Practice address

2870 Audubon Village Dr
Audubon, PA 19403-2262

Phone

(610) 699-9977

NPI assigned

Jul 6, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ivyrehab Network Inc.

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1174577274

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Orthopedic and Sports Physical Therapy Services, Inc.

  dba Excel Physical Therapy

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1588661235

  Orthopedic

  Medicare reassignment NPD
• Physical Therapy and Wellness Institute LLC

  • Physical Therapist
  • Lansdale, PA
  • NPI 1740208339

  Orthopedic

  Medicare reassignment NPD
• Progress Physical Therapy LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1164851085

  Orthopedic

  Medicare reassignment NPD
• Ivyrehab Network, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Cranford, NJ
  • NPI 1699590265

  Orthopedic

  NPD

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

{
    "created_epoch": "1720224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720224000000",
    "number": "1396581641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 BENTLEY DR",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189761348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 AUDUBON VILLAGE DR",
            "city": "AUDUBON",
            "state": "PA",
            "postal_code": "194032262",
            "telephone_number": "610-699-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-06",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA02256000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Venezia Jr.
• Graham Vigliotta, D.O.
• Marisa White, LPC
• Victoria Williamson, MS, OTR/L
• Kellyn Wright
• Yen Care V Inc. (Visiting Angels King of Prussia)
• Timothy Young
• Wendy Zelikoff-Simkin, PH.D.

• Orthopedic Physical Therapist in Audubon, PA
• Providers in Audubon, PA by specialty
• Orthopedic Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; 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.

Verify at the official NPI Registry.