JIM CARL TAMALA YU PTA, PT
NPI 1952018269
Physical Therapist in Farmington, NY

Active since November 04, 2022
5994 IVORY DR., FARMINGTON, NY 14425(585) 353-1254 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jim Carl Tamala Yu Pta, Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIM CARL TAMALA YU PTA, PT (NPI 1952018269) is an individual physical therapist in Farmington, New York, licensed in New York (044660) and active in the NPI registry since November 2022. He is a graduate of Other (2016).

NPPES Registry Identity

NPI1952018269
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJIM CARL TAMALA YUCredential: PTA, PT
Location Address5994 IVORY DR.Farmington, NY 14425
Mailing Address5994 Ivory Dr.Farmington, NY 14425 · (585) 353-1254
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 4, 2022
NPPES CertifiedNovember 4, 2022
✔ NPI 1952018269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 044660
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedPhysical Therapy AssistantTaxonomy 225200000X · License 013483 (NY)
5994 IVORY DR., Farmington, NY 14425

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jim Carl Tamala Yu Pta, Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587138128
PECOS Enrollment IDI20260705000116

Medicare Billing Reassignment

Medicare enrollment records show Jim Carl Yu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Medicine & Rehabilitation
4B MEDICAL PARK DR
Pomona, NY 10970
  • Reassigned Medicare billing, New York enrollment
  • 165 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jim Carl Yu's NPI number?

The NPI number for Jim Carl Yu is 1952018269. It was assigned to this individual provider in the NPPES registry on November 4, 2022.

Where is Jim Carl Yu located?

Jim Carl Yu practices at 5994 Ivory Dr., Farmington, NY 14425. The listed phone number is (585) 353-1254.

What is Jim Carl Yu's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jim Carl Yu enrolled in Medicare?

Yes. Jim Carl Yu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jim Carl Yu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jim Carl Yu reassigns Medicare benefits to Stern At Home Physical Therapy PC (Pomona, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jim Carl Yu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jim Carl Yu was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.