Active NPIIndividual provider

Mrs. Susan J Yacino, PTA

Physical Therapy Assistant in Cambridge, Massachusetts

NPI Number1669689956
Practice location
640 Concord Ave, Cambridge, MA 02138-1116
Fax
617-497-4447
Last updated
July 8, 2007

Susan Joy Yacino is a Physical Therapy Assistant based in Cambridge, MA. Susan Joy Yacino practices in Cambridge, MA and has the professional credentials of PTA. The NPI Number for Susan Joy Yacino is 1669689956 and holds a License No. 2044 (MA). The current practice location address for Susan Joy Yacino is 640 Concord Ave, Cambridge, MA 02138-1116 and can be reached out via phone at 617-497-0600 and via fax at 617-497-4447.

Provider Profile Details

NPI Number
1669689956
Provider Name
Susan Joy Yacino
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
640 Concord Ave, Cambridge, MA 02138-1116
Phone Number
617-497-0600
Fax Number
617-497-4447
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
May 17, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
640 Concord Ave
Cambridge, MA 02138-1116
Zip
02138-1116
Phone Number
617-497-0600
Fax Number
617-497-4447
Cambridge, MA 02138Get directions →

Provider Business Mailing Address Details

Address
6 Norman Ln
Dudley, MA 01571-5740
City
Dudley
State
MA
Zip
01571-5740
Phone Number
617-686-5689

License Information

License Number
2044
License State
MA
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Susan J Yacino, PTA?

The NPI number of Mrs. Susan J Yacino, PTA is 1669689956. It was assigned on May 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Susan J Yacino, PTA?

Mrs. Susan J Yacino, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 2044.

Where does Mrs. Susan J Yacino, PTA practice?

The practice location is 640 Concord Ave, Cambridge, MA 02138-1116. The office can be reached at 617-497-0600 (phone) or 617-497-4447 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669689956 directly on the NPPES registry website.

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