Individual provider Active NPI

Ariel Yabut Aparentado, RPT

  • Geriatric Physical Therapist
  • Danville, IL
National Provider Identifier
1962621854
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
Practice address
1701 N Bowman Avenue Rd
Danville, IL 61832-2200
Phone
(217) 443-2955
NPI assigned
Apr 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X IL Primary
Geriatric Physical Therapist 2251G0304X 2006022059 MO

Addresses

Primary practice location

1701 N Bowman Avenue Rd
Danville, IL 61832-2200

Mailing address

214 W 5TH St
Suites D & E
Joplin, MO 64801-2501
Phone (417) 827-8069

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
070.015503ILMDGeriatric Physical Therapist
2006022059MOMDGeriatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962621854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W 5TH ST",
            "address_2": "SUITES D & E",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648012501",
            "telephone_number": "417-827-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N BOWMAN AVENUE RD",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618322200",
            "telephone_number": "217-443-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APARENTADO",
        "first_name": "ARIEL",
        "middle_name": "YABUT",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MO",
            "license": "2006022059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.