Active NPI
Sheryl Yatsko, P.T.A.
- Physical Therapy Assistant
- Melbourne, FL
National Provider Identifier
1912203316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 24414
- Practice address
- 3303 Sarno Rd
Melbourne, FL 32934 - Phone
- (321) 610-8979
- NPI assigned
- Feb 1, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 40QB00069600 | NJ | |
| Physical Therapy Assistant | 225200000X | 24414 | FL | Primary |
| Physical Therapy Assistant | 225200000X | 5216 | NC |
Addresses
Primary practice location
3303 Sarno Rd
Melbourne, FL 32934
Mailing address
881 Grandin Ave
Sebastian, FL 32958-5125
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5216 | NC | MD | Oral and Maxillofacial Surgery (Dentist) |
| 24414 | FL | MD | Physical Therapy Assistant |
| 40QB00069600 | NJ | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459209600000",
"number": "1912203316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "881 GRANDIN AVE",
"city": "SEBASTIAN",
"state": "FL",
"postal_code": "329585125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 SARNO RD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "32934",
"telephone_number": "321-610-8979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATSKO",
"first_name": "SHERYL",
"credential": "P.T.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-01",
"last_updated": "2016-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NJ",
"license": "40QB00069600",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "24414",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "5216",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.