Sara Elizabeth Young, LPT
Individual provider Active NPI Physical Therapist · Bangs, TX
NPI 1972797801 · NPPES record last updated May 16, 2008
Key facts
- NPI
- 1972797801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1176377 (TX)
- Practice address
- 807 E Hall St Ste a
Bangs, TX 76823-5401 - Phone
- (325) 752-6819
- Fax
- (325) 752-6906
- NPI assigned
- Sep 4, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1176377 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisara Rehab Center | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1176377 | TX | Yes |
Addresses
Primary practice location
807 E Hall St Ste a
Bangs, TX 76823-5401
Mailing address
807 E Hall St Ste a
Bangs, TX 76823-5401
Phone (325) 752-6819
Other providers in Bangs, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.