Active NPI
Yuliya Mutsa, PTA
- Physical Therapy Assistant
- Lawrenceville, NJ
National Provider Identifier
1659781128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 1745 Brunswick Ave Apt B
Lawrenceville, NJ 08648-4631 - Phone
- (609) 334-9447
- NPI assigned
- May 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | NJ | Primary |
Addresses
Primary practice location
1745 Brunswick Ave Apt B
Lawrenceville, NJ 08648-4631
Mailing address
1745 Brunswick Ave Apt B
Lawrenceville, NJ 08648-4631
Phone (609) 334-9447
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399248000000",
"number": "1659781128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1745 BRUNSWICK AVE APT B",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086484631",
"telephone_number": "609-334-9447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1745 BRUNSWICK AVE APT B",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086484631",
"telephone_number": "609-334-9447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTSA",
"first_name": "YULIYA",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-05",
"last_updated": "2014-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.