Jennifer Read Young, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1113645 Issued in TX

Practice address

9907 Grand Oak Dr
Austin, TX 78750-3819

Phone

(512) 331-1999

Fax

(512) 331-9199

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Childrens Occupational, Physical, Speech Therapy Services, PLLC

  • Pediatric Physical Therapist
  • Austin, TX
  • NPI 1902907868

  Pediatrics

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043311905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9907 GRAND OAK DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503819",
            "telephone_number": "512-331-1999",
            "fax_number": "512-331-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9907 GRAND OAK DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503819",
            "telephone_number": "512-331-1999",
            "fax_number": "512-331-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JENNIFER",
        "middle_name": "READ",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1113645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "659667",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Van Leuwen Young, MD, MPH
• Garrett Young
• James Downs Young, LPC
• Jasmin J Young, APRN
• Jeannette C. Young, M.S., CCC-SLP
• Jettie C Young, LPC, LCDC
• Joann Young, MED, BCBA
• Joshua Young
• Juliet Young, MSGC
• Kathleen Monet Young, AU.D.

• Pediatric Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.