Individual provider Active NPI

Yanina Alex Yagnetinsky, DPT

  • Physical Therapist
  • White Plains, NY
National Provider Identifier
1891008868
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031906-1 Issued in NY
Practice address
317 North St
White Plains, NY 10605-2209
Phone
(914) 597-4035
NPI assigned
Jul 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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 031906-1 NY Primary

Addresses

Primary practice location

317 North St
White Plains, NY 10605-2209

Mailing address

61 Boswell Rd
Putnam Valley, NY 10579-2810
Phone (845) 603-6339

Other names 1

  • Yanina Alex Gornayeva Former name

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
031906-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1891008868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 BOSWELL RD",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105792810",
            "telephone_number": "845-603-6339",
            "fax_number": "845-603-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 NORTH ST",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052209",
            "telephone_number": "914-597-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGNETINSKY",
        "first_name": "YANINA",
        "middle_name": "ALEX",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031906-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YANINA",
            "last_name": "GORNAYEVA",
            "middle_name": "ALEX",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.