Individual provider Active NPI

Brian M. Ylisto, DPT

  • Specialist
  • Savannah, GA
National Provider Identifier
1982932927
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT009824 Issued in GA
Practice address
911 E 70TH St
Savannah, GA 31405-4814
Phone
(912) 355-0123
Fax
(912) 355-3856
NPI assigned
Dec 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT009824 GA Primary

Addresses

Primary practice location

911 E 70TH St
Savannah, GA 31405-4814

Mailing address

911 E 70TH St
Savannah, GA 31405-4814
Phone (912) 355-0123

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Therapy Inc Past Accepting new patients
Coastal Therapy Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1982932927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E 70TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054814",
            "telephone_number": "912-355-0123",
            "fax_number": "912-355-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E 70TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054814",
            "telephone_number": "912-355-0123",
            "fax_number": "912-355-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YLISTO",
        "first_name": "BRIAN",
        "middle_name": "M.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "PT009824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.