Tredenia Young, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0000000063 Issued in TN

Practice address

5830 Mount Moriah Rd
Suite 6
Memphis, TN 38115-1607

Phone

(901) 375-9855

Fax

(901) 375-9855

NPI assigned

May 21, 2007

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)

Not 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.

• Quality Therapy Services Inc

  • Physical Therapy Clinic/Center
  • Memphis, TN
  • NPI 1982655072
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902015779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2742 N LAKE SHORE DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381278408",
            "telephone_number": "901-487-6290",
            "fax_number": "901-375-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 MOUNT MORIAH RD",
            "address_2": "SUITE 6",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151607",
            "telephone_number": "901-375-9855",
            "fax_number": "901-375-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TREDENIA",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "0000000063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadie Young, OTDR/L
• Sascha Simone Young, EDS
• Sierra Young
• Taralyn Young, MSSW
• Tiffney Young, PHARMD
• Sarah Grace Youngblood, OTR/L
• Kathryn Younger, MSN, APRN, NNP-BC
• Amanda Lynn Yount, PMHNP-BC
• Your Choice Community Healthcare, LLC
• Your Choice Community Healthcare, LLC

• All providers in Memphis, TN
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.