Active NPI
Marie Carmen R Yu, P.T.
- Physical Therapist
- Port Orange, FL
National Provider Identifier
1932325545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7269
- Practice address
- 4606 S Clyde Morris Blvd
Suite 1-D
Port Orange, FL 32129-6404 - Phone
- (386) 492-2986
- Fax
- (386) 492-2987
- NPI assigned
- Apr 18, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7269 | FL | Primary |
Addresses
Primary practice location
4606 S Clyde Morris Blvd
Suite 1-D
Port Orange, FL 32129-6404
Mailing address
PO Box 290699
Port Orange, FL 32129-0699
Phone (386) 256-8745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4606 Clyde Morris Blvd
Suite 1D
Port Orange, FL 32129-7453
Phone (386) 492-2986
740 W Plymouth Ave
Florida Orthopaedic Associates
Deland, FL 32720-3282
Phone 81397897007646
Merit-based Incentive Payment System (MIPS)
- Final score
- 90 of 100
- Quality
- 80
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7269 | FL | MD | Physical Therapist |
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 Therapist
- Port Orange, FL
- NPI 1386895050
-
- Medical Specialty Clinic/Center
- Tallahassee, FL
- NPI 1194778050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430352000000",
"number": "1932325545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 290699",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321290699",
"telephone_number": "386-256-8745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4606 S CLYDE MORRIS BLVD",
"address_2": "SUITE 1-D",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321296404",
"telephone_number": "386-492-2986",
"fax_number": "386-492-2987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "MARIE CARMEN",
"middle_name": "R",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2015-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "7269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.