Individual provider Active NPI

Mark J Yee, DPT

  • Physical Therapist
  • Beverly Hills, CA
National Provider Identifier
1952735177
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12474-24 Issued in WI
Practice address
435 N Bedford Dr Ste 102
Beverly Hills, CA 90210-4319
Phone
(310) 385-9064
NPI assigned
Aug 23, 2013
Last updated
Aug 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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 12474-24 WI Primary

Addresses

Primary practice location

435 N Bedford Dr Ste 102
Beverly Hills, CA 90210-4319

Mailing address

435 N Bedford Dr Ste 102
Beverly Hills, CA 90210-4319
Phone (310) 385-9064

Other practice location 1

20 N Michigan Ave
Suite 103
Chicago, IL 60602-4811
Phone (312) 236-0660

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

State licenses

LicenseStateTypeSpecialty
12474-24WIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1952735177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N BEDFORD DR STE 102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104319",
            "telephone_number": "310-385-9064",
            "fax_number": "310-385-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N BEDFORD DR STE 102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104319",
            "telephone_number": "310-385-9064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 N Michigan Ave",
            "address_2": "SUITE 103",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606024811",
            "country_code": "US",
            "telephone_number": "312-236-0660",
            "fax_number": "312-236-1219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEE",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-23",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12474-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.