Paul Yeakle II, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT.002751 Issued in OH

Practice address

676 Miami St
Tiffin, OH 44883-1934

Phone

(419) 448-5533

NPI assigned

Nov 21, 2013

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fabrehab Services, LLC

  • Physical Therapy Clinic/Center
  • Tiffin, OH
  • NPI 1477961209
  NPD (past)
• Fabrizio Chiropractic & Physical Rehabilitation Clinic Inc.

  • Chiropractor
  • Tiffin, OH
  • NPI 1114085271
  NPD (past)

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1437589835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 MIAMI ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831934",
            "telephone_number": "419-448-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 MIAMI ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831934",
            "telephone_number": "419-448-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAKLE",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-21",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT.002751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Wolph, LISW
• Mark J Woods, PT
• Bradley Wright
• Emily Wuescher
• Lori Yeager, LISW
• Andrea Erin Young, H.I.S., A.B.O.C.
• Merris Young, MD
• Taylor Young
• Wade Earle Young, MD
• Samantha Renee Zaciewski, DDS

• Athletic Trainer in Tiffin, OH
• Providers in Tiffin, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.

Verify at the official NPI Registry.