Active NPI
Denise Ann Yakutchik, OTR/L
- Occupational Therapist
- Garnet Valley, PA
National Provider Identifier
1942729587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC015183
- Practice address
- 1194 Naamans Creek Rd
Garnet Valley, PA 19060-1615 - Phone
- (610) 558-7840
- NPI assigned
- Sep 14, 2017
- 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 | OC015183 | PA | Primary |
Addresses
Primary practice location
1194 Naamans Creek Rd
Garnet Valley, PA 19060-1615
Mailing address
465 Briarhill Rd
Springfield, PA 19064-2920
Phone (315) 243-9259
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC015183 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1942729587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 BRIARHILL RD",
"city": "SPRINGFIELD",
"state": "PA",
"postal_code": "190642920",
"telephone_number": "315-243-9259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1194 NAAMANS CREEK RD",
"city": "GARNET VALLEY",
"state": "PA",
"postal_code": "190601615",
"telephone_number": "610-558-7840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAKUTCHIK",
"first_name": "DENISE",
"middle_name": "ANN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-14",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC015183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garnet Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.