Active NPI
Tosha Young, PTA
- Physical Therapy Assistant
- Ahoskie, NC
National Provider Identifier
1952086506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A6394
- Practice address
- 312 Academy St S Ste G
Ahoskie, NC 27910-3200 - Phone
- (252) 276-2194
- Fax
- (252) 276-2218
- NPI assigned
- Jun 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A6394 | NC | Primary |
Addresses
Primary practice location
312 Academy St S Ste G
Ahoskie, NC 27910-3200
Mailing address
312 Academy St S Ste G
Ahoskie, NC 27910-3200
Phone (252) 276-2194
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A6394 | NC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Heart International Trading LLC | Multi-Specialty | Current | Accepting new patients |
Locations
312 Academy St S
Ste G
Ahoskie, NC 27910
Phone (252) 276-2194
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1952086506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 ACADEMY ST S STE G",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279103200",
"telephone_number": "252-276-2194",
"fax_number": "252-276-2218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 ACADEMY ST S STE G",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279103200",
"telephone_number": "252-276-2194",
"fax_number": "252-276-2218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "TOSHA",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-21",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A6394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ahoskie, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.