Healthcare Provider Details

I. General information

NPI: 1578793097
Provider Name (Legal Business Name): REBECCA JILL YORK DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2009
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8583 IRVINE CENTER DR STE 334
IRVINE CA
92618-4298
US

IV. Provider business mailing address

8583 IRVINE CENTER DR STE 334
IRVINE CA
92618-4298
US

V. Phone/Fax

Practice location:
  • Phone: 248-231-5237
  • Fax: 949-216-6018
Mailing address:
  • Phone: 248-231-5237
  • Fax: 949-216-6018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT35842
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License NumberPT35842
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License NumberPT35842
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT35842
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: