Individual provider Active NPI

Grace Elizabeth Yawman

  • Physical Therapist
  • Norwalk, CT
National Provider Identifier
1659195576
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
20 Glover Ave
Norwalk, CT 06850-1219
Phone
(203) 957-8100
NPI assigned
Nov 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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 Primary

Addresses

Primary practice location

20 Glover Ave
Norwalk, CT 06850-1219

Mailing address

205 Hunter Ave
Sleepy Hollow, NY 10591-1316
Phone (914) 703-7111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250114002754 CT Practitioner - Physical Therapist in Private Practice 0345778601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Evolution Physical Therapy LLCGroup PAC ID 5092084244, 9 clinicians

Practice addresses (Care Compare)

349 Post Rd
Darien, CT 06820-3606
Phone (475) 209-9420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14717CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ctsports Physical Therapy & Wellness LLC Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Evolution Physical Therapy, LLC Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients

Locations

349 Post Rd
Darien, CT 06820
Phone (475) 209-9420

20 Glover Ave
Norwalk, CT 06850
Phone (203) 957-8100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1659195576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HUNTER AVE",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911316",
            "telephone_number": "914-703-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GLOVER AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068501219",
            "telephone_number": "203-957-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAWMAN",
        "first_name": "GRACE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.