Individual provider Active NPI

Ashley Jordan Yoos, PT, DPT, AIB-VR

  • Physical Therapist
  • St Augustine, FL
National Provider Identifier
1740824408
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35251 Issued in FL
Practice address
1 St Johns Med PK Dr
St Augustine, FL 32086-5300
Phone
(904) 824-0869
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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 PT35251 FL Primary

Addresses

Primary practice location

1 St Johns Med PK Dr
St Augustine, FL 32086-5300

Mailing address

9 Atlantic Ave
Saint Augustine, FL 32084-2102
Phone (228) 282-4643

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.staugustinefoot.com/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200310000178 FL Practitioner - Physical Therapist in Private Practice 7012345812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Augustine Foot and Ankle, IncGroup PAC ID 5294873089, 2 clinicians

Practice addresses (Care Compare)

1 Saint Johns Medical Park Dr
Saint Augustine, FL 32086-5300
Phone (904) 824-0869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT35251FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Augustine Foot & Ankle, Inc CurrentSince Nov 1, 2019 Accepting new patients
St. Augustine Foot & Ankle, Inc CurrentSince Nov 1, 2019 Accepting new patients

Locations

1 Saint Johns Medical Park Dr
St Augustine, FL 32086
Phone (904) 797-1958

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": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1740824408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ATLANTIC AVE",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320842102",
            "telephone_number": "228-282-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ST JOHNS MED PK DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865300",
            "telephone_number": "904-824-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOOS",
        "first_name": "ASHLEY",
        "middle_name": "JORDAN",
        "credential": "PT, DPT, AIB-VR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.staugustinefoot.com/",
            "affiliation": "N",
            "address_1": "1 St Johns Med Pk Dr",
            "city": "St Augustine",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320865300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.