Stacey Yoder, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05008777A Issued in IN

Practice address

9200 Calumet Ave
Suite N100
Munster, IN 46321-2885

Phone

(219) 513-0500

NPI assigned

Feb 11, 2007

Last updated

May 11, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210464000000",
    "number": "1720129760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7929 W 91ST PL",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 CALUMET AVE",
            "address_2": "SUITE N100",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212885",
            "telephone_number": "219-513-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "STACEY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-11",
        "last_updated": "2008-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05008777A",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.015368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Lynne Yamout, D.O.
• Jim Yao, M.D.
• Yessenow Centre, P.C.
• Jeffrey R Yessenow, MD
• Jung Woo Yi, ACUPUNCTURIST
• Anastasia M Yorkman, FNP-C
• Alexander David Young, M.D.
• Fredric D Young, MD
• Kisha N Young, APN-CRNA
• Naketa Lisette Young, M.S.

• Physical Therapist in Munster, IN
• Providers in Munster, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2008; 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.