Samara Monique Dusset-Young, MPT,CBIS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1165963 Issued in TX

Practice address

3904 Turquoise Dr
McKinney, TX 75070-7819

Phone

(972) 834-0801

NPI assigned

Aug 21, 2018

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)

Enrolled

State licenses

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1225518004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 TURQUOISE DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 TURQUOISE DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707819",
            "telephone_number": "972-834-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSSET-YOUNG",
        "first_name": "SAMARA",
        "middle_name": "MONIQUE",
        "credential": "MPT,CBIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1165963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in McKinney, TX
• Providers in McKinney, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.