Desiree Yezulinas-Brown
Individual provider Active NPI Physical Therapy Assistant · Schuylkill Haven, PA
NPI 1891586954 · NPPES record last updated May 16, 2025
Key facts
- NPI
- 1891586954
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- TEI004762 (PA)
- Practice address
- 501 S Garfield Ave
Schuylkill Haven, PA 17972-1107 - Phone
- (570) 573-6430
- Fax
- (570) 573-6430
- NPI assigned
- May 16, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEI004762 | PA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TEI004762 | PA | Yes |
Addresses
Primary practice location
501 S Garfield Ave
Schuylkill Haven, PA 17972-1107
Mailing address
501 S Garfield Ave
Schuylkill Haven, PA 17972-1107
Phone (570) 573-6430
Other providers in Schuylkill Haven, PA
- Jeniva Ann Unger
- Nancy Varner
- Nancy A Wertman
- Gretchen Lieberman Witman
- Jennifer Wonn-Oettl
- Joseph Zawisza
- Michael J Zawisza
All providers in Schuylkill Haven, PA · Physical Therapy Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.