Jane Yaklin, OTRL

Primary specialty

SpecialistTaxonomy code 174400000X

License

1764 Issued in GA

Practice address

413 W Montgomery XRD Ste 102
Savannah, GA 31406-4321

Phone

(912) 354-4474

Fax

(912) 354-4443

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Coastal Pediatric Therapies, LLC

  • Pediatric Rehabilitation Medicine Physician
  • Savannah, GA
  • NPI 1205338944
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1760540355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 W MONTGOMERY XRD STE 102",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064321",
            "telephone_number": "912-354-4474",
            "fax_number": "912-354-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W MONTGOMERY XRD STE 102",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064321",
            "telephone_number": "912-354-4474",
            "fax_number": "912-354-4443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6555 Abercorn St Ste 221",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314055714",
            "country_code": "US",
            "telephone_number": "912-354-4474",
            "fax_number": "912-354-4443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAKLIN",
        "first_name": "JANE",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "1764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP CORPORATION",
            "identifier": "10041028",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003118497A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000649569D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "344667",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Dove Wynn, MD
• Abegail Delez Xiang, NP
• Steve S. Xie, M.D.
• Xion Health of Ga
• Leah Yakabovits, M.S., BCABA
• Michelle M Yamada, PA
• Sarah J Yancey, PA-C
• Hong Yang, MD
• Jennifer Yannucci, MD
• Eddiemai Yargo

• Specialist in Savannah, GA
• Providers in Savannah, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.