Isaac Youngwoo Yuh, PT
Individual provider Active NPI Physical Therapist · Medford, OR
NPI 1841968278 · NPPES record last updated Aug 31, 2021
Key facts
- NPI
- 1841968278
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 64238 (OR)
- Practice address
- 36 Hawthorne St
Medford, OR 97504-7114 - Phone
- (541) 776-2495
- NPI assigned
- Aug 31, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211021003011 | OR | Practitioner - Physical Therapist in Private Practice | 1052709151 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64238 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Physical Therapy LLP | Physical Therapist | Current |
Accepting new patients |
Locations
36 Hawthorne St
Medford, OR 97504
Phone (541) 776-2333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 64238 | OR | Yes |
Addresses
Primary practice location
36 Hawthorne St
Medford, OR 97504-7114
Mailing address
36 Hawthorne St
Medford, OR 97504-7114
Phone (541) 776-2495
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.