Active NPI
Gloria Yi
- Physical Therapist
- Redwood City, CA
National Provider Identifier
1760875157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 296396
- Practice address
- 450 Broadway Street
Suite A24, M/C 6122
Redwood City, CA 94063 - Phone
- (650) 725-5106
- NPI assigned
- Mar 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21615 | MA | |
| Physical Therapist | 225100000X | 296396 | CA | Primary |
Addresses
Primary practice location
450 Broadway Street
Suite A24, M/C 6122
Redwood City, CA 94063
Mailing address
583 Chestnut St
Suite 3
Lynn, MA 01904
Other practice location 1
583 Chestnut St
Suite 3
Lynn, MA 01904
Phone (781) 581-0484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21615 | MA | MD | Pharmacist |
| 296396 | CA | MD | Physical Therapist |
Interoperability endpoints
- gloria.yi@49426670288900.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1760875157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "583 CHESTNUT ST",
"address_2": "SUITE 3",
"city": "LYNN",
"state": "MA",
"postal_code": "01904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 BROADWAY STREET",
"address_2": "SUITE A24, M/C 6122",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "94063",
"telephone_number": "650-725-5106"
}
],
"practiceLocations": [
{
"address_1": "583 Chestnut St",
"address_2": "Suite 3",
"address_purpose": "LOCATION",
"city": "Lynn",
"state": "MA",
"postal_code": "01904",
"country_code": "US",
"telephone_number": "781-581-0484",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YI",
"first_name": "GLORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-10",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "21615",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "296396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.