Justine Andrea Youngleson, LMT, AIS

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MA81322 Issued in FL

Practice address

160 SW 12TH Ave
# 102
Deerfield Beach, FL 33442-3119

Phone

(954) 754-5277

NPI assigned

Mar 9, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1043671746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SW 12TH AVE",
            "address_2": "# 102",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423119",
            "telephone_number": "954-754-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SW 12TH AVE",
            "address_2": "# 102",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423119",
            "telephone_number": "954-754-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGLESON",
        "first_name": "JUSTINE",
        "middle_name": "ANDREA",
        "credential": "LMT, AIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MA81322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mark A Youngross, RPH
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• Mechanotherapist in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Mechanotherapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.