Individual provider Active NPI

Michelle Lynn Youngquist, PT

  • Physical Therapist
  • Lodi, OH
National Provider Identifier
1902704612
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014886 Issued in OH
Practice address
225 Elyria St
Lodi, OH 44254-1031
Phone
(330) 948-5529
NPI assigned
Oct 30, 2026
Last updated
Oct 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

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 PT014886 OH Primary

Addresses

Primary practice location

225 Elyria St
Lodi, OH 44254-1031

Mailing address

225 Elyria St
Lodi, OH 44254-1031
Phone (330) 948-5529

Other practice location 1

1025 Center St
Ashland, OH 44805-4011
Phone (419) 289-0491

Other names 1

  • Michelle Lynn Kornder Former name

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1793318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793318400000",
    "number": "1902704612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 ELYRIA ST",
            "city": "LODI",
            "state": "OH",
            "postal_code": "442541031",
            "telephone_number": "330-948-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ELYRIA ST",
            "city": "LODI",
            "state": "OH",
            "postal_code": "442541031",
            "telephone_number": "330-948-5529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Center St",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OH",
            "postal_code": "448054011",
            "country_code": "US",
            "telephone_number": "419-289-0491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNGQUIST",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-30",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT014886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "KORNDER",
            "middle_name": "LYNN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lodi, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2026; 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.