ANNA YAKUBOV – Physical Therapist, NPI 1164830717

ANNA YAKUBOV is a healthcare provider. based in Huntingdon valley, Pennsylvania. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for ANNA YAKUBOV is 1164830717

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
ANNA YAKUBOV
NPI
1164830717
Phone
(215) 292-1330
Address
706 RAIKES RD
Enumeration Date
28 July 2014
Last Update Date
16 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2159473443
Graduation Year
2014 (12 years ago)
PAC ID
8921337379
Group Practice PAC ID
4486756665
Professional Enrollment ID
I20190910001688
Address ID
PA190063737HU3443XPIKE301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:11State licenses:0Digital endpointsOther names

4,258 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

Provider Addresses for ANNA YAKUBOV

  • 706 RAIKES RD

    HUNTINGDON VALLEY, PA 190063418

    Phone: (215) 292-1330

    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: 2019-09-10

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
I20190910001688IPhysical Therapist In Private PracticePATBD

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 19006)

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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: 4486756665View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
-PA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA

Reviews

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Frequently asked questions

What NPI should I save for ANNA YAKUBOV?
Save NPI 1164830717 if you need a stable reference for ANNA YAKUBOV.
Is ANNA YAKUBOV's NPI currently valid?
The extract we use shows ANNA YAKUBOV as active.
Does ANNA YAKUBOV list a primary specialty?
If you are matching referrals, note Physical Therapist for ANNA YAKUBOV. Clinical services aligned with this taxonomy classification.
What location metadata exists for ANNA YAKUBOV?
The page summarizes Huntingdon Valley, Pennsylvania for ANNA YAKUBOV; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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