Individual provider Active NPI

Evelina Ricci-Yuster, RPT

  • Pediatric Physical Therapist
  • Toluca Lake, CA
National Provider Identifier
1457682163
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
22312 Issued in CA
Practice address
10061 Riverside Dr Ste 271
Toluca Lake, CA 91602-2560
Phone
(323) 394-3861
NPI assigned
Jan 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 22312 CA Primary

Addresses

Primary practice location

10061 Riverside Dr Ste 271
Toluca Lake, CA 91602-2560

Mailing address

10061 Riverside Dr Ste 271
Toluca Lake, CA 91602-2560
Phone (323) 394-3861

Other names 1

  • Evelina Ricci Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
PT N' Play, LLC Pediatrics 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": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1457682163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10061 RIVERSIDE DR STE 271",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022560",
            "telephone_number": "323-394-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10061 RIVERSIDE DR STE 271",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022560",
            "telephone_number": "323-394-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCI-YUSTER",
        "first_name": "EVELINA",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "22312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVELINA",
            "last_name": "RICCI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Toluca Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.