Provider Demographics
NPI:1821515529
Name:NEUMAN, YUSHA C (PT)
Entity type:Individual
Prefix:
First Name:YUSHA
Middle Name:C
Last Name:NEUMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4572 TELEPHONE RD STE 903
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-5663
Mailing Address - Country:US
Mailing Address - Phone:805-654-8127
Mailing Address - Fax:805-654-8149
Practice Address - Street 1:4572 TELEPHONE RD STE 903
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-5663
Practice Address - Country:US
Practice Address - Phone:805-654-8127
Practice Address - Fax:805-654-8149
Is Sole Proprietor?:No
Enumeration Date:2017-08-24
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60825461225100000X
OR62434225100000X
CA297755225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2158315Medicaid