Healthcare Provider Details

I. General information

NPI: 1295645596
Provider Name (Legal Business Name): MARGARET YORKGITIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 MONTREAL RD STE 117
TUCKER GA
30084-5246
US

IV. Provider business mailing address

20 BULLION RD
BASKING RIDGE NJ
07920-2422
US

V. Phone/Fax

Practice location:
  • Phone: 770-491-6004
  • Fax:
Mailing address:
  • Phone: 908-992-5420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT018615
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: