=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295645596
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARGARET YORKGITIS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/09/2026
-----------------------------------------------------
Last Update Date | 09/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1901 MONTREAL RD STE 117
-----------------------------------------------------
City | TUCKER
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30084-5246
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-491-6004
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 20 BULLION RD
-----------------------------------------------------
City | BASKING RIDGE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07920-2422
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-992-5420
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2251X0800X
-----------------------------------------------------
Taxonomy Name | Orthopedic Physical Therapist
-----------------------------------------------------
License Number | PT018615
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------