McKenna Briane Young, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT-6791 Issued in ID

Practice address

8382 N Wayne Dr Ste 204
Hayden, ID 83835-6028

Phone

(208) 719-9071

NPI assigned

Jul 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inland Pelvic Health & Physical Therapy, LLC

  • Physical Therapist
  • Hayden, ID
  • NPI 1215576640

  Single Specialty

  NPD
• Lake City Physical Therapy P a

  • Physical Therapist
  • Coeur d'Alene, ID
  • NPI 1952521411

  Single Specialty

  NPD
• Lake City Physical Therapy P a

  • Physical Therapist
  • Spokane, WA
  • NPI 1588810659

  Single Specialty

  NPD
• Physioone

  • Physical Therapist
  • Hayden, ID
  • NPI 1659642775

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1548878341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 N 16TH ST",
            "city": "DALTON GARDENS",
            "state": "ID",
            "postal_code": "838159603",
            "telephone_number": "208-819-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8382 N WAYNE DR STE 204",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838356028",
            "telephone_number": "208-719-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MCKENNA",
        "middle_name": "BRIANE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-17",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ID",
            "license": "PT-6791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Markes Willson, MOT
• Dana Marie Wilson, CSFA
• Scott E Wilson, F.N.P
• Kimberly Jill Young, MS, RDN, LD
• Lana Rochelle Young, N.P.

• Orthopedic Physical Therapist in Hayden, ID
• Providers in Hayden, ID by specialty
• Orthopedic Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.