Yo Philly Kids LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT018012 Issued in PA

Legal business name

YO PHILLY KIDS LLC

Practice address

708 S Bancroft St
Philadelphia, PA 19146-2019

Phone

(856) 495-6581

NPI assigned

Oct 18, 2017

Organization subpart

No

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

Authorized official

Name

Jaclyn G Polakoff, M.S. CCC-SLPNPI 1932519121

Title

Speech-Language Pathologist

Phone

(856) 495-6581

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaclyn Polakoff

  • Specialist
  • Philadelphia, PA
  • NPI 1932519121
  NPD (past) Authorized official

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1932610854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 S BANCROFT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462019",
            "telephone_number": "856-495-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S BANCROFT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462019",
            "telephone_number": "856-495-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YO PHILLY KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "POLAKOFF",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "856-495-6581",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "PA",
            "license": "PT018012",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011551",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark David Yinger
• Kathryn Yingling, CRNP
• Amanda Yisrael
• Yn Pharmacy LLC
• Yo Operating LLC
• Ada Yoder, PHDH
• Karen Yodsnukis, CRNP
• Haran Yogasundaram, MD
• Theresa Audrey Yogboh, MSN,CRNP,FNP-C
• Shaiesh Yogeswaran

• Pediatric Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatric Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.