Yvonne Peklaris, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QA00428500 Issued in NJ

Practice address

113 King Arthur Dr
Wilmington, NC 28403-0347

Phone

(856) 679-4072

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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.

• Paragon Outpatient Rehabilitation Services, LLC

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1871867325

  NC, Physical Therapist

  Medicare reassignment NPD
• Paragon Outpatient Rehabilitation Services, LLC

  • Rehabilitation Clinic/Center
  • Roxboro, NC
  • NPI 1245014380
  NPD

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1710199005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 KING ARTHUR DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284030347",
            "telephone_number": "910-679-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 KING ARTHUR DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284030347",
            "telephone_number": "856-679-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEKLARIS",
        "first_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "12928",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA00428500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedzfeedz, PLLC
• Carrie Peed, LPCA
• Megan Goodwin Peedin, FNP-C
• Melissa Brooke Peeler, FNP
• Amanda King Peeters, LCSW
• Pelican Counseling Services, PLLC
• Pelican Family Medicine at Monkey Junction
• Pelican Family Medicine Downtown
• Pelican Family Medicine, P.a.
• Pelican Family Medicine, P.a.

• Physical Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.