Individual provider Active NPI

Michael P Yucha, OTRL

  • Occupational Therapist
  • Newtown Square, PA
National Provider Identifier
1437331113
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC006724L Issued in PA
Practice address
100 Media Line Road
Newtown Square, PA 19073-4602
Phone
(610) 356-7355
Fax
(610) 355-7649
NPI assigned
Dec 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC006724L PA Primary

Addresses

Primary practice location

100 Media Line Road
Newtown Square, PA 19073-4602

Mailing address

PO Box 419
Occupational Therapy Programs
Newtown Square, PA 19073-0419
Phone (610) 356-7355

Other identifiers 1

IdentifierTypeStateIssuer
0019247770006MedicaidPA

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

LicenseStateTypeSpecialty
OC006724LPAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Occupational Therapy Programs Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1437331113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419",
            "address_2": "OCCUPATIONAL THERAPY PROGRAMS",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190730419",
            "telephone_number": "610-356-7355",
            "fax_number": "610-355-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDIA LINE ROAD",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734602",
            "telephone_number": "610-356-7355",
            "fax_number": "610-355-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUCHA",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC006724L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019247770006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.