Active NPI
Jo-Anna Yvorchuk, BSC PT
- Physical Therapist
- West Fargo, ND
National Provider Identifier
1821324369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8429
- Practice address
- 1762 Charleswood Estates Dr
West Fargo, ND 58078-4200 - Phone
- (701) 492-8879
- NPI assigned
- Oct 18, 2009
- 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 | 8429 | MN | Primary |
| Physical Therapist | 225100000X | 1372 | ND |
Addresses
Primary practice location
1762 Charleswood Estates Dr
West Fargo, ND 58078-4200
Mailing address
1762 Charleswood Estates Dr
West Fargo, ND 58078-4200
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255824000000",
"number": "1821324369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1762 CHARLESWOOD ESTATES DR",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580784200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1762 CHARLESWOOD ESTATES DR",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580784200",
"telephone_number": "701-492-8879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YVORCHUK",
"first_name": "JO-ANNA",
"credential": "BSC PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-18",
"last_updated": "2009-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "8429",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "1372",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.