Individual provider Active NPI

Jesse Yurko, DPT

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1700159225
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT021838 Issued in PA
Practice address
861 Coronado Center Dr Ste 201
Henderson, NV 89052-3992
Phone
(702) 916-2777
Fax
(702) 916-2778
NPI assigned
Feb 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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 PT021838 PA Primary

Addresses

Primary practice location

861 Coronado Center Dr Ste 201
Henderson, NV 89052-3992

Mailing address

5785 Centennial Center Blvd Ste 220
Las Vegas, NV 89149-7111
Phone (702) 916-7777

Other practice location 1

5785 Centennial Center Blvd Ste 220
Las Vegas, NV 89149-7111
Phone (702) 916-7777

Other practice location 2

3012 S Durango Dr
Las Vegas, NV 89117-9186
Phone (702) 916-2777

Other practice location 3

6301 Mountain Vista St Ste 201
Henderson, NV 89014-2365
Phone (702) 990-0936

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200603000042 NV Practitioner - Physical Therapist in Private Practice 3678732880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Physical Therapy LLCGroup PAC ID 0941190870, 3 clinicians

Practice addresses (Care Compare)

861 Coronado Ctr Dr
Suite 201
Henderson, NV 89052-3992
Phone (702) 916-2777

Merit-based Incentive Payment System (MIPS)

Final score
22 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Physical Therapy LLC Physical Therapist CurrentSince Sep 5, 2023 Accepting new patients
Northeast PT Associates, Inc. Physical Therapist PastSince Jul 1, 2021 Accepting new patients

Locations

6301 Mountain Vista St
Ste 201
Henderson, NV 89014
Phone (702) 435-3900

861 Coronado Center Dr
Ste 201
Henderson, NV 89052
Phone (702) 897-7331

3012 S Durango Dr
Las Vegas, NV 89117
Phone (702) 835-0088

5785 Centennial Center Blvd
Ste 220
Las Vegas, NV 89149
Phone (702) 916-2777

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": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1700159225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5785 CENTENNIAL CENTER BLVD STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891497111",
            "telephone_number": "702-916-7777",
            "fax_number": "702-916-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 CORONADO CENTER DR STE 201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523992",
            "telephone_number": "702-916-2777",
            "fax_number": "702-916-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5785 Centennial Center Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891497111",
            "country_code": "US",
            "telephone_number": "702-916-7777",
            "fax_number": "702-916-2778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3012 S Durango Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891179186",
            "country_code": "US",
            "telephone_number": "702-916-2777",
            "fax_number": "702-916-2778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6301 Mountain Vista St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890142365",
            "country_code": "US",
            "telephone_number": "702-990-0936",
            "fax_number": "702-990-0937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YURKO",
        "first_name": "JESSE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-14",
        "last_updated": "2023-10-24",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.