Gary Yagoda, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305202367 Issued in VA

Practice address

8300 Greensboro Dr
LL 100
MC Lean, VA 22102-3605

Phone

(703) 556-8477

NPI assigned

Jul 17, 2007

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

Enrolled in VA, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Biomechanic Physical Therapy, PLLCGroup PAC ID 8325145592, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Biomechanic Physical Therapy, PLLC

  • Physical Therapist
  • Hanover, PA
  • NPI 1609904069

  VA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1639378862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 PIMMIT DR",
            "address_2": "1229",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 GREENSBORO DR",
            "address_2": "LL 100",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023605",
            "telephone_number": "703-556-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGODA",
        "first_name": "GARY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Cheri Wu, D.D.S.
• Virginia Wu, FNP
• Tracey Lynn Wyatt, R.D.
• Dawn Cheri Wyckoff, MD
• Y Nabil Yakub MD PC
• Dinara Yambulatova, MPAS, PA
• Jane E Yang
• Rouben A Yedigarian, D.D.S.
• Theodore T Yee, M.D.
• Jouyu Yeh, LAC

• Physical Therapist in McLean, VA
• Providers in McLean, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.