Individual provider Active NPI

Barbara Joy Mathes Yurkutat, OTR/L

  • Pediatric Occupational Therapist
  • Fayetteville, NC
National Provider Identifier
1770984486
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
4869 Issued in NC
Practice address
7532 Wilkins Dr
Fayetteville, NC 28311-9338
Phone
(910) 868-6000
Fax
(186) 647-5836
NPI assigned
Sep 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 4869 NC Primary

Addresses

Primary practice location

7532 Wilkins Dr
Fayetteville, NC 28311-9338

Mailing address

7532 Wilkins Dr
Fayetteville, NC 28311-9338
Phone (910) 868-6000

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4869NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Move With Me Physical Therapy, LLC Past Accepting new patients

Organizations & group practices 1

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": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1770984486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7532 WILKINS DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119338",
            "telephone_number": "910-868-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7532 WILKINS DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119338",
            "telephone_number": "910-868-6000",
            "fax_number": "186-647-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURKUTAT",
        "first_name": "BARBARA",
        "middle_name": "JOY MATHES",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "4869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.