Jamie Yuen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070023218 Issued in IL

Practice address

13259 S Central Ave
Crestwood, IL 60418-2901

Phone

(708) 597-1000

NPI assigned

Sep 29, 2018

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peltz and Associates Physical Therapy IncGroup PAC ID 6002819075, 14 clinicians

Practice addresses (Care Compare)

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.

• Peltz and Associates Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Santa Rosa, CA
  • NPI 1356389001

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1538179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1750866307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 N WELLS ST APT 1303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606108055",
            "telephone_number": "773-715-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13259 S CENTRAL AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604182901",
            "telephone_number": "708-597-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUEN",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-29",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296867",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070023218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy K Werner Sr., MD, MS
• Deja Wilson
• Steven Robert Windberg, PHARMD
• Hyeonjoo Yoo, PHARMD
• Brian C Yu, M.D.
• Mahmoud S Zegar, PHARM.D.

• Physical Therapist in Crestwood, IL
• Providers in Crestwood, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.