Caleb Youngblood P.T. Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CALEB YOUNGBLOOD P.T. INC

Practice address

10701 S Ocean Dr Lot 888
Jensen Beach, FL 34957-2641

Phone

(772) 285-4984

NPI assigned

Jul 10, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Caleb Lucas Youngblood, DPT

Title

President

Phone

(772) 285-4984

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• caleb youngblood p.t. inc Doing business as

Electronic endpoints 2

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1427600535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 S OCEAN DR LOT 888",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349572641",
            "telephone_number": "772-285-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 S OCEAN DR LOT 888",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349572641",
            "telephone_number": "772-285-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALEB YOUNGBLOOD P.T. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "YOUNGBLOOD",
        "authorized_official_first_name": "CALEB",
        "authorized_official_middle_name": "LUCAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-285-4984",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT24611",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ycaleb@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "sam@southfloridabilling.com",
            "address_1": "10701 S Ocean Dr Lot 888",
            "city": "Jensen Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349572641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ycaleb@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "sam@southfloridabilling.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kero",
            "address_1": "10701 S Ocean Dr Lot 888",
            "city": "Jensen Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349572641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "caleb youngblood p.t. inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara L Bryant, APRN
• Lisa F Bullington, SLP
• Jennifer Lauren Burgess, M.D.
• Yvette Claire Bushey, D.O.
• Alston Bryan Calderon, PA
• Kristina Marie Camp
• Colt Harrison Canepa, DMD
• Theresa Ann Caputo-Buxton, RCSWI
• Eleanor E Caracci, MASSAGE THERAPIST
• Caretegic Health, Inc

• Physical Therapy Clinic/Center in Jensen Beach, FL
• Providers in Jensen Beach, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.