Forever Young Mobile Physical Therapy LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

FOREVER YOUNG MOBILE PHYSICAL THERAPY LLC

Practice address

2268 Little River Neck Rd
North Myrtle Beach, SC 29582-6265

Phone

(910) 239-7834

NPI assigned

Dec 12, 2023

Organization subpart

No

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

Authorized official

Name

Jodi Barnes Young, PTNPI 1225581721

Title

Owner

Phone

(910) 239-7834

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jodi Young, PT

  • Physical Therapist
  • Little River, SC
  • NPI 1225581721
  NPD Authorized official

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1295502011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 JAMES ISLAND AVE",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295826979",
            "telephone_number": "910-239-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2268 LITTLE RIVER NECK RD",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295826265",
            "telephone_number": "910-239-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER YOUNG MOBILE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "BARNES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-239-7834",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lise McCann Falcone, DC
• Lauren Ashley Fawley
• Christine Ferreri Fitzpatrick, M.A.CCC-SLP
• Emily Virginia Fleming, COTA/L
• Scott Alan Floyd, PT
• Zya Masada Fuentes
• Dorothy L Fullex, APRN, NP-C
• Benjamin Furtwengler, PHARM. D., RPH.
• G4 Hearing Inc
• Jenna Gage

• Physical Medicine & Rehabilitation Physician in North Myrtle Beach, SC
• Providers in North Myrtle Beach, SC by specialty
• Physical Medicine & Rehabilitation Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.