Taylor M Youngberg, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2361 Issued in SD

Practice address

5150 E 57TH St
Sioux Falls, SD 57108-8748

Phone

(605) 271-3378

Fax

(605) 271-6059

NPI assigned

Mar 18, 2022

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

Other names 1

• Taylor M Glasoe Former name

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.

• Prairie Rehabilitation Services, Inc.

  • Physical Therapist
  • Sioux Falls, SD
  • NPI 1902892409
  NPD (past)

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1336898329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S CLIFF AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052129",
            "telephone_number": "605-334-5630",
            "fax_number": "605-332-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 E 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088748",
            "telephone_number": "605-271-3378",
            "fax_number": "605-271-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBERG",
        "first_name": "TAYLOR",
        "middle_name": "M",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "2361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "GLASOE",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grace Elizabeth Young, OTD
• Jacob Allen Young, DO
• Mark Anthony Young, M.A., CCDCIII
• Tina Marie Young, MSW, CSW-PIP
• Tricia Young, OTR/L
• Karen Younger, RN
• Khalil A Yousef, M.D.
• John C Yu, M.D.
• Lily Xingyuan Yu, M.D.
• Nadia Yusufi, DNP

• Physical Therapist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.