Active NPI
Mina Youssry Youssef, P.T.
- Physical Therapist
- Palm Springs, CA
National Provider Identifier
1518237072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 38694
- Practice address
- 3700 E Tachevah Dr Ste 107
Palm Springs, CA 92262-7402 - Phone
- (760) 459-0003
- Fax
- (760) 656-0614
- NPI assigned
- Dec 30, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 38694 | CA | Primary |
Addresses
Primary practice location
3700 E Tachevah Dr Ste 107
Palm Springs, CA 92262-7402
Mailing address
1845 Business Center Dr
Suite 127
San Bernardino, CA 92408-3467
Phone (909) 890-9030
Other practice location 1
46900 Monroe St. Bldg. C
Suite 304
Indio, CA 92201-4829
Phone (760) 289-3010
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38694 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Therapy Network Incorporated | Physical 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.
-
- Physical Therapist
- Corona, CA
- NPI 1669691051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1518237072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 BUSINESS CENTER DR",
"address_2": "SUITE 127",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083467",
"telephone_number": "909-890-9030",
"fax_number": "909-890-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 E TACHEVAH DR STE 107",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922627402",
"telephone_number": "760-459-0003",
"fax_number": "760-656-0614"
}
],
"practiceLocations": [
{
"address_1": "46900 Monroe St. Bldg. C",
"address_2": "Suite 304",
"address_purpose": "LOCATION",
"city": "Indio",
"state": "CA",
"postal_code": "922014829",
"country_code": "US",
"telephone_number": "760-289-3010",
"fax_number": "760-863-1871",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUSSEF",
"first_name": "MINA",
"middle_name": "YOUSSRY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-30",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "38694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.