Active NPI
Aboli Manohar Yenkar
- Physical Therapist
- Clinton, MD
National Provider Identifier
1487138491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305215349
- Practice address
- 9211 Stuart LN
Clinton, MD 20735-2712 - Phone
- (909) 674-6160
- NPI assigned
- Sep 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 26963 | MD | |
| Physical Therapist | 225100000X | PT872636 | DC | |
| Physical Therapist | 225100000X | 2305215349 | VA | Primary |
Addresses
Primary practice location
9211 Stuart LN
Clinton, MD 20735-2712
Mailing address
9211 Stuart LN
Clinton, MD 20735-2712
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26963 | MD | MD | Clinical Social Worker |
| PT872636 | DC | MD | Physical Therapist |
| 2305215349 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1487138491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9211 STUART LN",
"city": "CLINTON",
"state": "MD",
"postal_code": "207352712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9211 STUART LN",
"city": "CLINTON",
"state": "MD",
"postal_code": "207352712",
"telephone_number": "909-674-6160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YENKAR",
"first_name": "ABOLI",
"middle_name": "MANOHAR",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-17",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MD",
"license": "26963",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT872636",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305215349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.