Individual provider Active NPI

Brion Youngs, PT, DPT

  • Physical Therapist
  • Port St Lucie, FL
National Provider Identifier
1649970856
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39902 Issued in FL
Practice address
1707 NW Saint Lucie West Blvd Ste 188
Port St Lucie, FL 34986-2521
Phone
(772) 878-3322
NPI assigned
Mar 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 39902 FL Primary

Addresses

Primary practice location

1707 NW Saint Lucie West Blvd Ste 188
Port St Lucie, FL 34986-2521

Mailing address

2005 Oleander Blvd Apt C
Fort Pierce, FL 34950-5343
Phone (904) 343-4318

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
39902FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cora Health Services Inc CurrentSince Mar 12, 2023 Accepting new patients
Premier Physical Therapy Sport Medicine Inc Physical Therapist Past Accepting new patients
Cora Health Services, Inc PastSince Mar 12, 2023 Accepting new patients

Locations

1707 NW Saint Lucie West Blvd
Ste 188
Port St Lucie, FL 34986
Phone (772) 878-3322

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1649970856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 OLEANDER BLVD APT C",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349505343",
            "telephone_number": "904-343-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 NW SAINT LUCIE WEST BLVD STE 188",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862521",
            "telephone_number": "772-878-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGS",
        "first_name": "BRION",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "39902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.