Young 4 Life Rehab

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1811 Issued in SC

Legal business name

YOUNG 4 LIFE REHAB

Practice address

528 Arcola Dr
Columbia, SC 29223-5407

Phone

(803) 736-1759

Fax

(803) 736-0374

NPI assigned

Feb 14, 2008

Organization subpart

No

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

Authorized official

Name

Katrina Renise Young, LPTANPI 1225206196

Title

Owner

Phone

(803) 736-1759

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katrina Renise Young, LPTA

  • Physical Therapy Assistant
  • Columbia, SC
  • NPI 1225206196
  NPD (past) Authorized official

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1639347487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 ARCOLA DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235407",
            "telephone_number": "803-736-1759",
            "fax_number": "803-736-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 ARCOLA DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235407",
            "telephone_number": "803-736-1759",
            "fax_number": "803-736-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG 4 LIFE REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "RENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-736-1759",
        "authorized_official_credential": "LPTA"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "1811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1225206196",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adriane Lynn York, PHARMD
• William Edward York, MSW, LISW-CP
• You Matter Counseling and Consulting, LLC
• Beveisha Youmans
• Mariam Younas, M.D.
• Cathy Young-Jones, RN, MSN
• Amanda Young
• Brandon S Young, DPT, PT
• Courtney Young, LPC
• D'Andra Daneice Young

• Physical Therapy Assistant in Columbia, SC
• Providers in Columbia, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.