Individual provider Active NPI

Kevin Chen Bond Yuen, DPT

  • Physical Therapist
  • Carlisle, PA
National Provider Identifier
1942714241
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT026610 Issued in PA
Practice address
3 Jennifer CT Ste a
Carlisle, PA 17015-7791
Phone
(717) 243-0271
Fax
(717) 243-0531
NPI assigned
Nov 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT026610 PA Primary

Addresses

Primary practice location

3 Jennifer CT Ste a
Carlisle, PA 17015-7791

Mailing address

3 Jennifer CT Ste a
Carlisle, PA 17015-7791
Phone (717) 243-0271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220811003185 MD Practitioner - Physical Therapist in Private Practice 8123386216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

40 E Ordnance Rd
Suite D
Glen Burnie, MD 21060-6544
Phone (443) 545-1040

998 Hospitality Way
Suite 101
Aberdeen, MD 21001-1762
Phone (410) 273-9776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29016MDMDClinical Social Worker
PT026610PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy of Maryland LLC Physical Therapist CurrentSince Jun 28, 2022 Accepting new patients
Drayer Physical Therapy of Maryland LLC Physical Therapist CurrentSince Jun 28, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

998 Hospitality Way
Ste 101
Aberdeen, MD 21001
Phone (410) 273-9776

40 E Ordnance Rd
Ste D
Glen Burnie, MD 21060
Phone (443) 545-1040

Interoperability endpoints

  • Direct secure messaging: kevin.yuen.1@8042.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1942714241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 JENNIFER CT STE A",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157791",
            "telephone_number": "717-243-0271",
            "fax_number": "717-243-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 JENNIFER CT STE A",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157791",
            "telephone_number": "717-243-0271",
            "fax_number": "717-243-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUEN",
        "first_name": "KEVIN",
        "middle_name": "CHEN BOND",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-22",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; 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.

Verify at the official NPI Registry.