Denise M Youngman

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6768 Issued in CA

Legal business name

DENISE M YOUNGMAN

Doing business as

Sunnyside Physical Therapy

Practice address

1072 Los Osos Valley Rd
Los Osos, CA 93402-3237

Phone

(805) 528-2590

Fax

(805) 528-2590

NPI assigned

Sep 21, 2006

Last updated

Jul 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Denise Youngman, PTNPI 1639278021

Title

Owner

Phone

(805) 528-2590

Specialties & licenses 1

Addresses

Other names 1

• Sunnyside Physical Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Denise Youngman, PT

  • Physical Therapist
  • Los Osos, CA
  • NPI 1639278021
  NPD (past) Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1184723579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 LOS OSOS VALLEY RD",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934023237",
            "telephone_number": "805-528-2590",
            "fax_number": "805-528-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 LOS OSOS VALLEY RD",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934023237",
            "telephone_number": "805-528-2590",
            "fax_number": "805-528-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE M YOUNGMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "YOUNGMAN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-528-2590",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT6768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnyside Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• County of San Luis Obispo (Los Osos Middle School)
• Maya Lillie Coy Cowardin
• Robert A. Daniels, DPM
• Diann Michele Davisson, CHAPLAIN
• Lindsey Dela Cruz, M.A.
• Jill V Denton, LMFT
• Lindsay Rochelle Donaldson, D.C.
• Duffy C. de Graw D.D.S. a Professional Corporation
• Audrey Nissen Elliott, M.P.T.
• Brittany Jean Ellwood, PHARMD

• Physical Therapist in Los Osos, CA
• Providers in Los Osos, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.