Andrea Nielsen Yaktus, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT023249 Issued in PA

Practice address

161 Byers Road
Chester Springs, PA 19425

Phone

(610) 620-4695

Fax

(855) 919-6126

NPI assigned

Jan 22, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Andrea Nielsen Dolan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Centered Physical Therapy

  • Physical Therapist
  • Chester Springs, PA
  • NPI 1588326458
  NPD Authorized official

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1700209020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 BYERS ROAD",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "19425",
            "telephone_number": "610-620-4695",
            "fax_number": "855-919-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 BYERS ROAD",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "19425",
            "telephone_number": "610-620-4695",
            "fax_number": "855-919-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKTUS",
        "first_name": "ANDREA",
        "middle_name": "NIELSEN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "DOLAN",
            "middle_name": "NIELSEN",
            "prefix": "MS.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• West Chester Dental Group LLC
• Tammie Weston
• Tyler Wilson, CPM
• Thomas A Wolk, M.D.
• Mary Wykle
• James Maurice Youakim, M.D.
• Young Enterprises
• Kathleen M. Young, M.A.
• Mark Louis Young, MSPT

• Physical Therapist in Chester Springs, PA
• Providers in Chester Springs, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.