Calvin Yetman

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA26963 Issued in FL

Practice address

2826 Cleveland Ave
Fort Myers, FL 33901-6001

Phone

(239) 334-1091

NPI assigned

Sep 19, 2016

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

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1487102497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 SE 17TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045071",
            "telephone_number": "239-233-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 CLEVELAND AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339016001",
            "telephone_number": "239-334-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YETMAN",
        "first_name": "CALVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA26963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Yates
• John Dennis Yavorsky, D.D.S., M.S.
• Allison B Yee, MD
• Kristy D Yentes, FNP-BC, NP-C
• Darian Yera, APRN
• Glara N Yi Powell, OD
• Yeh Hung Yiin Dillon, M.D.
• Ermias Yohannes, MD
• Shannon M York Conrey, APRN
• Anne Christine Young, A.P.R.N.

• Physical Therapy Assistant in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.