NPIMap

Organization Active NPI

Yugo Physicaltherapy & Sports Rehab

  • Physical Therapist
  • Mishawaka, IN
National Provider Identifier
1427227115
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
YUGO PHYSICALTHERAPY & SPORTS REHAB
Practice address
4455 Edison Lakes Pkwy
Suite 200a
Mishawaka, IN 46545-1443
Phone
(574) 259-1175
Fax
(574) 259-9671
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mr. Dave Yugo
Title
President
Phone
(574) 259-1175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4455 Edison Lakes Pkwy
Suite 200a
Mishawaka, IN 46545-1443

Mailing address

4455 Edison Lakes Pkwy
Suite 200a
Mishawaka, IN 46545-1443
Phone (574) 259-1175

National Provider Directory

National Provider Directory

Locations

418 W Cleveland Rd
Granger, IN 46530
Phone (574) 271-8424

4455 Edison Lakes Pkwy
Ste 200A
Mishawaka, IN 46545
Phone (574) 259-1175

Practitioners & affiliated clinicians

Practitioners 8

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": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1427227115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 EDISON LAKES PKWY",
            "address_2": "SUITE 200A",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451443",
            "telephone_number": "574-259-1175",
            "fax_number": "574-259-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 EDISON LAKES PKWY",
            "address_2": "SUITE 200A",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451443",
            "telephone_number": "574-259-1175",
            "fax_number": "574-259-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUGO PHYSICALTHERAPY & SPORTS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "YUGO",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-259-1175",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.