Individual provider Active NPI

Ashley Yabut

  • Physical Therapist
  • Tucker, GA
National Provider Identifier
1649157041
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4650 Hugh Howell Rd Ste 270
Tucker, GA 30084-5035
Phone
(470) 857-3606
Fax
(470) 777-4258
NPI assigned
Aug 18, 2025
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X GA Primary

Addresses

Primary practice location

4650 Hugh Howell Rd Ste 270
Tucker, GA 30084-5035

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251211004362 GA Practitioner - Physical Therapist in Private Practice 5799279139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCM Rehabilitation LLCGroup PAC ID 5294798336, 58 clinicians

Practice addresses (Care Compare)

4650 Hugh Howell Rd
Suite 270
Tucker, GA 30084-5035
Phone (470) 857-3606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MCM Rehabilitation, LLC. Physical Therapist CurrentSince Oct 16, 2025 Accepting new patients
MCM Rehabilitation LLC CurrentSince Oct 16, 2025 Accepting new patients

Locations

5665 Highway 9 N
Ste 102A
Alpharetta, GA 30004
Phone (770) 625-2616

3154 Johnson Ferry Rd
Ste 100
Marietta, GA 30062
Phone (678) 256-0758

97 Gateway Business Park Dr
Ringgold, GA 30736
Phone (706) 937-5771

4650 Hugh Howell Rd
Ste 270
Tucker, GA 30084
Phone (470) 857-3606

4947 Paysphere Cr
Chicago, IL 60674

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1649157041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 HUGH HOWELL RD STE 270",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845035",
            "telephone_number": "470-857-3606",
            "fax_number": "470-777-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YABUT",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.