JEANINE ODETTE YIP (DPT) – Neurology Physical Therapist, NPI 1114126091

JEANINE ODETTE YIP (DPT) is a healthcare provider. based in Los angeles, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 23658 (CA). The NPI Number for JEANINE ODETTE YIP (DPT) is 1114126091

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
JEANINE ODETTE YIP (DPT)
NPI
1114126091
Phone
(213) 399-2334
Address
1540 EAST ALCAZAR STREET, CHP 155
Enumeration Date
12 July 2007
Last Update Date
12 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
8319990880
Graduation Year
1998 (28 years ago)
PAC ID
3476042060
Group Practice PAC ID
9032659636
Professional Enrollment ID
I20251103001844
Address ID
CA95125XXXXSAXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for JEANINE ODETTE YIP (DPT)

  • 1540 EAST ALCAZAR STREET, CHP 155

    USC DIVISION OF BIOKINESIOLOGY AND PHYSICAL THERAPY

    LOS ANGELES, CA 90033

    Phone: (213) 399-2334

    Fax: (323) 442-1515

    Type: Mailing

  • 1640, Marengo Street, Boyle Heights, Los Angeles, Los Angeles County, California, 90033, United States

    USC FACULTY PRACTICE

    LOS ANGELES, CA 90033

    Phone: (213) 399-2334

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251103001844IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032659636View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Occupational Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What is the standard ID for JEANINE ODETTE YIP (DPT) in the U.S.?
In the U.S., JEANINE ODETTE YIP (DPT) is identified by NPI 1114126091.
Quick check: is JEANINE ODETTE YIP (DPT) active?
Public NPPES data shows JEANINE ODETTE YIP (DPT) with an active NPI status right now.
How should patients interpret JEANINE ODETTE YIP (DPT)'s specialty?
The extract shows Neurology Physical Therapist for JEANINE ODETTE YIP (DPT). Clinical services aligned with this taxonomy classification.
What city is tied to JEANINE ODETTE YIP (DPT)?
The directory associates JEANINE ODETTE YIP (DPT) with Los Angeles, California. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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