Active NPI
Yana Cheatham
- Physical Therapist
- San Pedro, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 303359
- Practice address
- 481 W 6TH St
San Pedro, CA 90731-2631 - Phone
- (424) 536-3023
- Fax
- (424) 536-3093
- NPI assigned
- Jan 16, 2023
- Last updated
- Feb 23, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 303359 | CA | Primary |
Addresses
Primary practice location
481 W 6TH St
San Pedro, CA 90731-2631
Mailing address
481 W 6TH St
San Pedro, CA 90731-2631
Phone (424) 536-3023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303359 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coast Physical Therapy & Coast Rehab | Physical Therapist | Current | Accepting new patients |
| Physical Therapy San Pedro Corp. | Physical Therapist | Current | Accepting new patients |
| Patriot Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167
28901 S Western Ave
Ste 103
Rancho Palos Verdes, CA 90275
Phone (310) 732-0036
481 W 6th St
San Pedro, CA 90731
Phone (424) 536-3023
415 W 6th St
San Pedro, CA 90731
Phone (424) 536-3023
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
dba Coast Physical Therapy and Sports Rehab
- Physical Therapist
- Rancho Palos Verdes, CA
- NPI 1831489475
-
dba Dr. Janae Brown
- Physical Therapy Clinic/Center
- San Pedro, CA
- NPI 1144085150
Physical Therapist
-
dba Patriot Physical Therapy
- Physical Therapist
- Rancho Palos Verdes, CA
- NPI 1740563402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708646400000",
"number": "1639884455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 W 6TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907312631",
"telephone_number": "424-536-3023",
"fax_number": "424-536-3093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 W 6TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907312631",
"telephone_number": "424-536-3023",
"fax_number": "424-536-3093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEATHAM",
"first_name": "YANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-16",
"last_updated": "2024-02-23",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "303359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.