Joanna M Young

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

47953 Issued in CA

Practice address

9025 Colorado Ave
Riverside, CA 92503-2167

Phone

(951) 688-3636

NPI assigned

Nov 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: joyoung@llu.edu

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

{
    "created_epoch": "1572739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572739200000",
    "number": "1639713696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16245 HUNTER ST",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923357816",
            "telephone_number": "909-561-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 COLORADO AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925032167",
            "telephone_number": "951-688-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JOANNA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-03",
        "last_updated": "2019-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "47953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Joyoung@llu.edu",
            "affiliation": "N",
            "address_1": "9025 Colorado Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925032167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danela Young
• Deborah Young
• Eric Young
• Jennifer Young
• Jessica Kelli Young
• Joanne Alyce Young
• John Charles Waverly Young
• Katie Young
• Michelle Denise Young
• Rachel Young

• Physical Therapy Assistant in Riverside, CA
• Providers in Riverside, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2019; 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.