Katrina Renise Young, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA8510 Issued in CA

Practice address

528 Arcola Dr
Columbia, SC 29223-5407

Phone

(803) 736-1759

Fax

(803) 736-0374

NPI assigned

Feb 13, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Young 4 Life Rehab

  • Physical Therapy Assistant
  • Columbia, SC
  • NPI 1639347487
  NPD (past) Authorized official

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1225206196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 ARCOLA DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235407",
            "telephone_number": "803-736-1759",
            "fax_number": "803-736-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 ARCOLA DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235407",
            "telephone_number": "803-736-1759",
            "fax_number": "803-736-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KATRINA",
        "middle_name": "RENISE",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "1811",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA8510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Young, LPC
• D'Andra Daneice Young
• Demi A Young, CD(DONA)
• G Charles Young
• Kaila Anne Young, AGACNP-BC
• Kelly Anne Young, FNP-C
• Kerri A. Young, APRN
• Kimberly Kyzer Young, PHARMD
• Komaleather Young
• Ladonna Young

• Physical Therapy Assistant in Columbia, SC
• Providers in Columbia, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.