Tim Joe Young, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

OKPTA763 Issued in OK

Practice address

8520 S 36TH Ter
Fort Smith, AR 72908-8880

Phone

(479) 410-1740

NPI assigned

Jan 10, 2013

Sex

Male

Sole proprietor

No

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": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1144567140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34676 COOPER RD",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749539001",
            "telephone_number": "918-413-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8520 S 36TH TER",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088880",
            "telephone_number": "479-410-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TIM",
        "middle_name": "JOE",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "OKPTA763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maylynn D York, LPC-S
• Becky Hamer Young, MHPP
• Dakota Lee Young, FNP-C
• Karalyne Alizabeth Mae Young
• Samantha Young, QBHP
• Emma Youngblood
• Brooke Maureen Youngwolfe, NP
• George Zabakolas, M.D.
• Maha Zafar, MBBS/MD
• Savannah Star Zappa-Varner, QBHP

• Physical Therapy Assistant in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.