Yvonne Marie Fachner, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT11314 Issued in CA

Practice address

805 Travis St
Folsom, CA 95630

Phone

(916) 337-1203

Fax

(916) 985-3254

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982825717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 LANITA COURT",
            "city": "ESCALON",
            "state": "CA",
            "postal_code": "953209578",
            "telephone_number": "209-838-0245",
            "fax_number": "209-838-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 TRAVIS ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-337-1203",
            "fax_number": "916-985-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACHNER",
        "first_name": "YVONNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT11314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trisha Noreen Evangelista
• Melonie Marie Evans
• Excel Hospice Care, Inc.
• Extended Care Solutions, Inc.
• Heather Suzanne Fabbre, MA, LMFT
• Courtney Marie Fackrell
• Fariha Faeezah
• Jennifer Fahreddin, MS, RD
• Evelyn Fainsztein, M.D.
• Bradley Robert Falke, D.C.

• Physical Therapist in Folsom, CA
• Providers in Folsom, CA by specialty
• Physical Therapist in California

• 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.