Kiersten Young

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018925 Issued in MI

Practice address

1424 S Main St
Adrian, MI 49221-4309

Phone

(517) 312-1711

Fax

(517) 312-1712

NPI assigned

Dec 16, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ivyrehab Northern PT, LLC

  • Physical Therapy Clinic/Center
  • Sparta, MI
  • NPI 1972592525
  NPD (past)

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1841761038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 S MAIN ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492214309",
            "telephone_number": "517-312-1711",
            "fax_number": "517-312-1712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Wright Ave",
            "address_purpose": "LOCATION",
            "city": "Alma",
            "state": "MI",
            "postal_code": "488011133",
            "country_code": "US",
            "telephone_number": "989-463-3141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 Main St",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "MI",
            "postal_code": "481112650",
            "country_code": "US",
            "telephone_number": "734-489-6440",
            "fax_number": "734-418-7553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 W Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481162392",
            "country_code": "US",
            "telephone_number": "810-227-3588",
            "fax_number": "810-626-4045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KIERSTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Randall Wright, SWBA
• Mary Kathryn Yanik
• Julie K Yaroch, D.O.
• Kimberly Yoder, LLMSW
• Jamie Young
• Sheila Ann Young
• Mary Ellen Youngblood, M.ED., LPC
• Kristina Mae Younglove, CHW
• Richard Bennett Youngs, DDS
• Erin Maureen Yuen, LLMSW

• Physical Therapist in Adrian, MI
• Providers in Adrian, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.