Active NPI
Amaiah Young, PT
- Physical Therapist
- Camilla, GA
National Provider Identifier
1457260648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018469
- Practice address
- 99 E Broad St
Camilla, GA 31730-1807 - Phone
- (229) 336-8255
- Fax
- (229) 336-1932
- NPI assigned
- Sep 3, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT018469 | GA | Primary |
Addresses
Primary practice location
99 E Broad St
Camilla, GA 31730-1807
Mailing address
99 E Broad St
Camilla, GA 31730-1807
Phone (229) 336-8255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT018469 | Other | GA | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1457260648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 E BROAD ST",
"city": "CAMILLA",
"state": "GA",
"postal_code": "317301807",
"telephone_number": "229-336-8255",
"fax_number": "229-336-1932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 E BROAD ST",
"city": "CAMILLA",
"state": "GA",
"postal_code": "317301807",
"telephone_number": "229-336-8255",
"fax_number": "229-336-1932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "AMAIAH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT018469",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "PT018469",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Camilla, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.