Derrek Yang, P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

052573 Issued in NY

Practice address

36 W 44TH St Ste 914
New York, NY 10036-8104

Phone

(212) 621-7746

Fax

(646) 624-7746

NPI assigned

Aug 14, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

New York Medical College, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Shasta Health Physical Therapy Ny PCGroup PAC ID 6406383033, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Green Movement Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Staten Island, NY
  • NPI 1306652680

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Shasta Health Physical Therapy Ny PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1932933264

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• New York Luna Care Physical Therapy PLLC

  • Physical Therapist
  • Pearl River, NY
  • NPI 1194314062
  Medicare reassignment NPD
• Lifelong Strong Health LLC

  • Home Health Agency
  • Jersey City, NJ
  • NPI 1851035554

  NY, Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1982436580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 W 44TH ST STE 914",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100368104",
            "telephone_number": "212-621-7746",
            "fax_number": "646-624-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W 44TH ST STE 914",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100368104",
            "telephone_number": "212-621-7746",
            "fax_number": "646-624-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "DERREK",
        "credential": "P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cui Yu Yang, M.D
• Danielle Yang, PA
• David Yang
• David Hsuan-Kuang Yang, DDS
• David L Yang, MD
• Dia Yang, MD
• Dorothy Yang, LCSW
• Eddie W. Yang, M.D.
• Elaine I-Lun Yang, M.D.
• Emily Yang, MD

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.