Individual provider Active NPI

Tonya Faye Yanok, D.P.T.

  • Physical Therapist
  • Dedham, MA
National Provider Identifier
1811302649
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24922 Issued in MA
Practice address
910 Washington St Ste 104
Dedham, MA 02026-6022
Phone
(781) 762-0471
Fax
(781) 762-8072
NPI assigned
Jul 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24922 MA Primary

Addresses

Primary practice location

910 Washington St Ste 104
Dedham, MA 02026-6022

Mailing address

910 Washington St Ste 104
Dedham, MA 02026-6022
Phone (781) 762-0471

Other practice location 1

201 Front St
Suite 104
Berea, OH 44017-1998
Phone (440) 260-7670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200902002544 MA Practitioner - Physical Therapist in Private Practice 5597983155 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24922MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Health Therapies Physical Therapist CurrentSince Oct 11, 2024 Accepting new patients

Locations

475 Franklin St
Ste 209
Framingham, MA 01702
Phone (508) 309-3450

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": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1811302649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 WASHINGTON ST STE 104",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266022",
            "telephone_number": "781-762-0471",
            "fax_number": "781-762-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WASHINGTON ST STE 104",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266022",
            "telephone_number": "781-762-0471",
            "fax_number": "781-762-8072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Front St",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Berea",
            "state": "OH",
            "postal_code": "440171998",
            "country_code": "US",
            "telephone_number": "440-260-7670",
            "fax_number": "440-260-7671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANOK",
        "first_name": "TONYA",
        "middle_name": "FAYE",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.