Active NPI
Isaiah Young, LMT
- Massage Therapist
- Hoover, AL
National Provider Identifier
1508606898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 5768
- Practice address
- 1236 Blue Ridge Blvd
Hoover, AL 35226-3078 - Phone
- (205) 440-1649
- NPI assigned
- May 25, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 5768 | AL | Primary |
Addresses
Primary practice location
1236 Blue Ridge Blvd
Hoover, AL 35226-3078
Mailing address
1236 Blue Ridge Blvd
Hoover, AL 35226-3078
Phone (205) 440-1649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5768 | AL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716595200000",
"number": "1508606898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1236 BLUE RIDGE BLVD",
"city": "HOOVER",
"state": "AL",
"postal_code": "352263078",
"telephone_number": "205-440-1649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1236 BLUE RIDGE BLVD",
"city": "HOOVER",
"state": "AL",
"postal_code": "352263078",
"telephone_number": "205-440-1649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ISAIAH",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-25",
"last_updated": "2024-05-25",
"certification_date": "2024-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AL",
"license": "5768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.