Individual provider Active NPI

Yuri V Yeremen, OT

  • Occupational Therapist
  • Saint Albans, VT
National Provider Identifier
1629815832
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
072.0000557 Issued in VT
Practice address
596 Sheldon Rd
Saint Albans, VT 05478-8011
Phone
(802) 330-4028
NPI assigned
Jul 15, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 072.0000557 VT Primary

Addresses

Primary practice location

596 Sheldon Rd
Saint Albans, VT 05478-8011

Mailing address

38 Proctor Ave
South Burlington, VT 05403-6134
Phone (646) 633-2203

Other names 1

  • Yuriy V Yeremenko Other 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

State licenses

LicenseStateTypeSpecialty
072.0000557VTMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1629815832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 PROCTOR AVE",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036134",
            "telephone_number": "646-633-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 SHELDON RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054788011",
            "telephone_number": "802-330-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEREMEN",
        "first_name": "YURI",
        "middle_name": "V",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VT",
            "license": "072.0000557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YURIY",
            "last_name": "YEREMENKO",
            "middle_name": "V",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Albans, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.