Active NPI
Lynn Yurchak, OTR/L
- Occupational Therapist
- Fort Myers, FL
National Provider Identifier
1922489251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT16537
- Practice address
- 9731 Commerce Center CT
Fort Myers, FL 33908-1400 - Phone
- (239) 334-2500
- NPI assigned
- Jun 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT16537 | FL | Primary |
Addresses
Primary practice location
9731 Commerce Center CT
Fort Myers, FL 33908-1400
Mailing address
411 Walnut St # 4199
Green Cove Springs, FL 32043-3443
Phone (609) 221-6993
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433980800000",
"number": "1922489251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 WALNUT ST # 4199",
"city": "GREEN COVE SPRINGS",
"state": "FL",
"postal_code": "320433443",
"telephone_number": "609-221-6993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9731 COMMERCE CENTER CT",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339081400",
"telephone_number": "239-334-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YURCHAK",
"first_name": "LYNN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-11",
"last_updated": "2015-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT16537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.