Gina Sarah Yaghoubi, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

035687-1 Issued in NY

Practice address

2150 Central Park Ave
Suite 207
Yonkers, NY 10710-1856

Phone

(914) 395-3290

Fax

(914) 395-0247

NPI assigned

Mar 13, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimum Physical Therapy PCGroup PAC ID 5890684880, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

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.

• Optimum Physical Therapy PC

  • Physical Therapist
  • Yonkers, NY
  • NPI 1851475354
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1750622957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SIWANOY BLVD",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107093815",
            "telephone_number": "914-395-3290",
            "fax_number": "914-395-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 CENTRAL PARK AVE",
            "address_2": "SUITE 207",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107101856",
            "telephone_number": "914-395-3290",
            "fax_number": "914-395-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGHOUBI",
        "first_name": "GINA",
        "middle_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035687-1",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "035687-1",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NY",
            "license": "035687-1",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "035687-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvin Alvarez Wynant, MD
• Roslyn Tabitha Wynder, LPN
• Joan Wynter
• Kamila Wysocki, COTA
• Jing Xiao, MD
• Rachel Liora Yakubov, RN
• Alina Yakubova
• Akino Irene Yamashita, M.D.
• Evelyn Yang, OTR/L
• Lyle Vincent Yap-Separovich, DO

• Physical Therapist in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.