COURTNEY YAMADA (PT, MS) – Physical Therapist, NPI 1174531362

COURTNEY YAMADA (PT, MS) is a healthcare provider. based in Bloomington, Illinois. specializing in Physical Therapist. They hold the professional credentials PT, MS. They hold a License No. 070011472 (IL). The NPI Number for COURTNEY YAMADA (PT, MS) is 1174531362

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY YAMADA (PT, MS)
NPI
1174531362
Phone
(309) 663-6461
Address
1111 TRINITY LN
Enumeration Date
3 August 2006
Last Update Date
9 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
30966364611273
Graduation Year
1999 (27 years ago)
PAC ID
3870512908
Group Practice PAC ID
2860480134
Professional Enrollment ID
I20051117000220
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for COURTNEY YAMADA (PT, MS)

  • 1111, Trinity Lane, Bloomington, McLean County, Illinois, 61704, United States

    SUITE 111

    BLOOMINGTON, IL 617048111

    Phone: (309) 663-6461

    Fax: (309) 661-8107

    Mailing address matches the actual address.

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: 2005-11-17

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
I20051117000220IPhysical Therapist In Private PracticeILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,487257$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes539169$0
97113Therapy procedure using water pool to exercises, each 15 minutes21832$0
97140Therapy procedure using manual technique, each 15 minutes13175$0
97161Evaluation for physical therapy, typically 20 minutes7666$0
View full utilization report →

Insurance plans in this area (ZIP 61704)

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Provider's Procedures

COURTNEY YAMADA (PT, MS) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYIL97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes4521

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: 2860480134View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to COURTNEY YAMADA (PT, MS)?
NPI 1174531362 is assigned to COURTNEY YAMADA (PT, MS) under the national enumeration system.
Is COURTNEY YAMADA (PT, MS) currently active in the NPI registry?
CMS-published data lists COURTNEY YAMADA (PT, MS) as an active registrant.
What kind of provider is COURTNEY YAMADA (PT, MS)?
The page reflects Physical Therapist for COURTNEY YAMADA (PT, MS). Clinical services aligned with this taxonomy classification.
Where does public data place COURTNEY YAMADA (PT, MS)?
The snapshot lists Bloomington, Illinois for COURTNEY YAMADA (PT, MS); download NPPES for the complete set.
Is COURTNEY YAMADA (PT, MS) a real provider?
This page reflects official NPPES data for NPI 1174531362. Always confirm identity and privileges with the practice and licensing boards.

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