Individual provider Active NPI

Julie A Yevchak, PT

  • Physical Therapist
  • Valrico, FL
National Provider Identifier
1922000512
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT23572 Issued in FL
Practice address
3248 Lithia Pinecrest Rd Ste 102
Valrico, FL 33596-5682
Phone
(813) 662-1366
Fax
(813) 662-1159
NPI assigned
Aug 12, 2005
Last updated
Dec 19, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8184 NC
Physical Therapist 225100000X PT23572 FL Primary

Addresses

Primary practice location

3248 Lithia Pinecrest Rd Ste 102
Valrico, FL 33596-5682

Mailing address

3248 Lithia Pinecrest Rd Ste 102
Valrico, FL 33596-5682
Phone (813) 662-1366

Other identifiers 2

IdentifierTypeStateIssuer
079JROtherNCBCBS NC
D8509OtherNCMEDCOST

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
PT23572FLMDPhysical Therapist
8184NCMDPhysical Therapist

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1922000512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3248 LITHIA PINECREST RD STE 102",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335965682",
            "telephone_number": "813-662-1366",
            "fax_number": "813-662-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3248 LITHIA PINECREST RD STE 102",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335965682",
            "telephone_number": "813-662-1366",
            "fax_number": "813-662-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEVCHAK",
        "first_name": "JULIE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "8184",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "079JR",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "D8509",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.