MIKE YASSON LLC (NPI# 1326524547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326524547 |
| Entity Type | Organization |
| Organization Name | MIKE YASSON LLC |
| Other Organization Name | BIG LEAGUE PERFORMANCE AND REHABILITATION |
| Practice Address |
1525 Half St Sw Washington DC 20024-3412 |
| Practice Telephone | 6318063554 |
| Mailing Telephone | 6318063554 |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |
| Authorized Official Name | DR. RAYMOND MICHAEL YASSON III (CEO/FOUNDER) |
| Authorized Official Telephone | 6318063554 |
| Authorized Official Credential | DPT, CSCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT871868 | DC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Big League Performance and Rehabilitation | Doing Business As Name - Organization |
| Street Address |
1525 HALF ST SW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20024-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023486487 | Raymond Michael Yasson IIi | Physical Therapist | 1525 Half St Sw, Washington, DC 20024-3412 | 2015-09-02 |
| 1457965196 | Zoe Pond-mcpherson | Physical Therapist | 1525 Half St Sw, Washington, DC 20024-3412 | 2020-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245712694 | A'layah Brown | Technician | 1512 2nd Street Sw #12, Washington, DC 20024 | 2018-09-02 |
| 1225533086 | D.c. Home Health Holdings LLC | Home Health | 955 L'efant Plaza Sw, Suite 985, Washington, DC 20024 | 2018-03-26 |
| 1982121893 | District of Columbia Cvs Pharmacy LLC | Pharmacy | 800 Maine Ave, Sw, Washington, DC 20024 | 2017-08-23 |
| 1609305002 | Sneha Chackochan | Technician, Other | 201 I St Sw Apt V527, Washington, DC 20024 | 2017-06-08 |
| 1679904106 | Christine Law | Occupational Therapist | 401 I Street Sw, Washington, DC 20024 | 2013-12-10 |
| 1982962098 | Sakeenah Turner-cooper | Home Health Aide | 501 School St Sw Ste 200, Washington, DC 20024 | 2012-04-26 |
| 1497085666 | Emily H Lo | Physical Therapist | 409 3rd Street Sw, Suite C700, Washington, DC 20024 | 2010-01-11 |
| 1497879910 | Professional Healthcare Resources of Washington Dc, Inc. | Respite Care | 501 School St Sw, Suite 200, Washington, DC 20024 | 2007-03-19 |
| 1134263148 | Lenora Blathers | Dentist | 700 7th Street Sw, Suite G-2, Washington, DC 20024 | 2007-02-16 |
| 1720245368 | Mark Steven Varanelli | Emergency Medical Technician, Paramedic | 1100 Ohio Dr Sw, Uspp / Aviation Unit, Washington, DC 20024-0001 | 2008-05-21 |
| Find all providers in zip 20024 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174132302 | Full Circle Pt | Clinic/Center | 904 E Capitol St Ne Bsmt, Washington, DC 20003-3904 | 2020-07-23 |
| 1871121061 | Joe Norton Physical Therapy Pllc | Clinic/Center | 3222 N St Nw Ste 300, Washington, DC 20007-2895 | 2020-04-01 |
| 1649817990 | Phyt Collective, LLC | Clinic/Center | 818 Connecticut Ave Nw Ste 500, Washington, DC 20006-2713 | 2019-12-05 |
| 1962963280 | Manual Medicine Spine and Sports Physical Therapy | Clinic/Center | 1015 15th St Nw, Ste 614k, Washington, DC 20005 | 2019-03-28 |
| 1588136733 | University Physical Therapy Associates | Clinic/Center | 1160 Varnum St Ne Ste 217, Washington, DC 20017-2106 | 2018-12-28 |
| 1275014938 | District Performance & Physio | Clinic/Center | 1722 Eye St Nw Bsmt Level, Washington, DC 20006-3710 | 2018-08-22 |
| 1538578950 | Progressive Physical Therapy Center LLC | Clinic/Center | 901 6th St Sw Lbby Level, Fitness Level, Washington, DC 20024-3850 | 2014-08-11 |
| 1245593326 | Vital Physical Therapy LLC | Clinic/Center | 2401 M St Nw, Washington, DC 20037-1408 | 2012-06-22 |
| 1912275595 | Rose Physcial Therapy Group | Clinic/Center | 1101 Connecticut Ave Nw, Washington, DC 20036-4303 | 2011-12-09 |
| 1851687214 | Therapeutic Sessions Corporation | Clinic/Center | 3905 Dix St Ne, Washington, DC 20019-1401 | 2011-06-23 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20024 |
Please comment or provide details below to improve the information on MIKE YASSON LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.