Active NPI
Timothy Logan Yost, P.T.
- Physical Therapist
- Harlan, KY
National Provider Identifier
1649229725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004012
- Practice address
- 100 Professional Lane
Suite 102
Harlan, KY 40831 - Phone
- (606) 573-9539
- Fax
- (606) 573-7390
- NPI assigned
- May 8, 2006
- 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 | 004012 | KY | Primary |
Addresses
Primary practice location
100 Professional Lane
Suite 102
Harlan, KY 40831
Mailing address
383 Corbin Center Drive
Corbin, KY 40701
Phone (606) 526-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8700142600 | Medicaid | KY |
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 |
|---|---|---|---|
| 4012 | KY | MD | Dentist |
| 004012 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280448000000",
"number": "1649229725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "383 CORBIN CENTER DRIVE",
"city": "CORBIN",
"state": "KY",
"postal_code": "40701",
"telephone_number": "606-526-2900",
"fax_number": "606-526-2901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PROFESSIONAL LANE",
"address_2": "SUITE 102",
"city": "HARLAN",
"state": "KY",
"postal_code": "40831",
"telephone_number": "606-573-9539",
"fax_number": "606-573-7390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOST",
"first_name": "TIMOTHY",
"middle_name": "LOGAN",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2010-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "004012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8700142600",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harlan, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.