Yisroel Elin, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007282 Issued in CT

Practice address

60 Tower Rd
Waterbury, CT 06710-1634

Phone

(203) 755-5116

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811091259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 TOWER RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067101634",
            "telephone_number": "203-755-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 TOWER RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067101634",
            "telephone_number": "203-755-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIN",
        "first_name": "YISROEL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007282",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024873",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle L Elder
• Mohamed Yassin Elgamal, MD
• Elias C Deros DMD LLC
• Nicole Elias-Rivadeneira
• Amalfi Elibo
• Jann Draper Elliott, OTR/L
• Jatarra Ellis, LPC-A
• Leonard Ellis
• Elshaddai Health Care LLC
• David Elson, MD

• Physical Therapist in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.