Jennifer L Young, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT31922 Issued in FL

Practice address

12822 Del Corso Loop
Bradenton, FL 34211-8434

Phone

(541) 292-8015

Fax

(941) 343-9402

NPI assigned

Feb 28, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer L Billings Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1629518428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12822 DEL CORSO LOOP",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342118434",
            "telephone_number": "541-292-8015",
            "fax_number": "941-343-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12822 DEL CORSO LOOP",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342118434",
            "telephone_number": "541-292-8015",
            "fax_number": "941-343-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT31922",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "03797",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BILLINGS",
            "middle_name": "L",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Lynn Yost, CRNFA
• Steven S. Youker, D.C., P.a.
• Danielle Elizabeth Young, OTR/L
• Elizabeth I Young, BSN, CWS
• Erika L Young
• Katrina Young, BA
• Krystal Tiffany Young
• Nicole Lee Young, LCSW
• Shara L Young, MD
• Dennis Youngblood, D.D.S.

• Physical Therapist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.