Your Therapy Specialists, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9985 Issued in NC

Legal business name

YOUR THERAPY SPECIALISTS, LLC

Practice address

775 W End Blvd
Winston Salem, NC 27101-2421

Phone

(336) 725-9787

Fax

(336) 725-9977

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Bridgette Renee Johnson, PT

Title

Owner

Phone

(336) 725-9787

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Bridgette Renee Bunker, DPT

  • Physical Therapist
  • Irmo, SC
  • NPI 1932141371
  NPD

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1689606840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 BELLE AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271059696",
            "telephone_number": "336-725-9787",
            "fax_number": "336-725-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 W END BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012421",
            "telephone_number": "336-725-9787",
            "fax_number": "336-725-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR THERAPY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRIDGETTE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-725-9787",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "079Y2",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Young, LCSW
• Patrick Joshua Young, DO
• William Watson Young, MD
• Courtney Youngs, CRNA
• Caleb Younts, RPH
• Nikki Elizabeth Yourshaw, M.D., MPH
• Hassan Yousaf, MD
• William Fredrick Youse
• Georgia Brown Youssef, M.A., LMFT
• Youth Opportunities

• Physical Therapist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.