Youngblood Physical Therapy & Sports Performance, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

YOUNGBLOOD PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC

Practice address

11661 Preston Rd Ste 175
Dallas, TX 75230-6181

Phone

(806) 683-0711

NPI assigned

Jan 24, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Todd Youngblood, PTNPI 1518574789

Title

Owner

Phone

(806) 683-0711

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Todd Youngblood

  • Physical Therapist
  • Dallas, TX
  • NPI 1518574789
  NPD Authorized official

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1821850967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 ANITA ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065336",
            "telephone_number": "806-683-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11661 PRESTON RD STE 175",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306181",
            "telephone_number": "806-683-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGBLOOD PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "YOUNGBLOOD",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-683-0711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent D Young, M.D.
• Virginia Ruth Young, PCNS- BC
• Walter Young, M.D.
• William Young, MD
• William Harrison Young
• Felicia Youngblood, COTA
• Jonathan Todd Youngblood
• Kneel and Youngblood, MD
• Tyler Robert Youngman, MD
• Nour Younis, MD

• Physical Therapy Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.