Tonni Young, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502006480 Issued in MI

Practice address

4764 Dixie Hwy Ste 150
Waterford, MI 48329-3525

Phone

(248) 247-1586

NPI assigned

Aug 11, 2021

Sex

Female

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

Practice roles

Locations

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.

• Physio4Relief PC

  • Physical Therapist
  • Waterford, MI
  • NPI 1861050098
  NPD

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1316612468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 MERLE AVE",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485092175",
            "telephone_number": "810-813-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4764 DIXIE HWY STE 150",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293525",
            "telephone_number": "248-247-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TONNI",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502006480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alla Yeras, MD
• Frances Danelle Yokley, MSW
• Dosyng Yoon, MD
• Sarah York
• Brenda Ann Young, MSW
• Desiree Youngs, LLMSW
• Steven Zagurny, R.PH.
• Ksenia Zakharova
• Amber Zarb, LICSW, LMSW
• Andrew Zazaian, DO

• Physical Therapy Assistant in Waterford, MI
• Providers in Waterford, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.