Active NPI
Laura M. Yolitz, PT
- Orthopedic Physical Therapist
- Fayetteville, GA
National Provider Identifier
1922063932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT006403
- Practice address
- 135 Brandywine Blvd
Suite D
Fayetteville, GA 30214-1590 - Phone
- (770) 460-6285
- Fax
- (770) 460-6512
- NPI assigned
- Apr 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT006403 | GA | Primary |
Addresses
Primary practice location
135 Brandywine Blvd
Suite D
Fayetteville, GA 30214-1590
Mailing address
820 Holland CT
Hampton, GA 30228-3399
Phone (770) 946-8728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060407000219 | GA | Practitioner - Physical Therapist in Private Practice | 8123037835 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Physical Therapy of Fayette LLC
Practice addresses (Care Compare)
135 Brandywine Blvd
Suite D
Fayetteville, GA 30214-1590
Phone (770) 460-6285
P O Box
Suite 1896
Fayetteville, GA 30214-1588
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy of Fayette | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Fayetteville, GA
- NPI 1346388725
GA
-
- Physical Therapy Clinic/Center
- Fayetteville, GA
- NPI 1447294228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922063932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 HOLLAND CT",
"city": "HAMPTON",
"state": "GA",
"postal_code": "302283399",
"telephone_number": "770-946-8728",
"fax_number": "770-460-6285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 BRANDYWINE BLVD",
"address_2": "SUITE D",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302141590",
"telephone_number": "770-460-6285",
"fax_number": "770-460-6512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOLITZ",
"first_name": "LAURA",
"middle_name": "M.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "GA",
"license": "PT006403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.