Active NPI
Sarah Grace Youngblood, OTR/L
- Occupational Therapist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7013
- Practice address
- 6286 Briarcrest Ave Ste 200
Memphis, TN 38120-4023 - Phone
- (901) 261-2506
- Fax
- (901) 261-2590
- NPI assigned
- Aug 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-4007 | MS | |
| Occupational Therapist | 225X00000X | 7013 | TN | Primary |
Addresses
Primary practice location
6286 Briarcrest Ave Ste 200
Memphis, TN 38120-4023
Mailing address
6077 Primacy Pkwy Ste 140
Memphis, TN 38119-5754
Phone (901) 725-8347
Other practice location 1
7580 Clarington Cv
Southaven, MS 38671-5657
Phone (901) 259-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220111001451 | TN | Practitioner - Occupational Therapist in Private Practice | 2668864265 | Reassigns benefits to 1 organization |
| I20240111000051 | MS | Practitioner - Occupational Therapist in Private Practice | 2668864265 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MSK Group PC
Practice addresses (Care Compare)
2100 Exeter Rd
Suite 200
Germantown, TN 38138-3966
Phone (901) 641-3000
7580 Clarington CV
Southaven, MS 38671-5657
Phone (901) 259-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-4007 | MS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSK Group, PC | Occupational Therapist | Current | Accepting new patients |
| MSK Group, PC | Current | Accepting new patients | |
| MSK Group PC | Current | Accepting new patients | |
| Courageous Kids, LLC | Past | Accepting new patients |
Locations
7580 Clarington Cv
Southaven, MS 38671
Phone (901) 259-1600
7111 Southcrest Pkwy
Ste 105
Southaven, MS 38671
Phone (901) 261-2506
2100 Exeter Rd
Ste 200
Germantown, TN 38138
Phone (901) 522-6440
6286 Briarcrest Ave
#200
Memphis, TN 38120
Phone (901) 259-1600
6077 E Primacy Pkwy
Ste 140
Memphis, TN 38119
Phone (901) 725-8347
6286 Briarcrest Ave
Ste 100
Memphis, TN 38120
Phone (901) 259-1600
6286 Briarcrest Ave
Ste 200
Memphis, TN 38120
Phone (901) 259-1600
6286 Briarcrest Ave
Ste 120
Memphis, TN 38120
Phone (901) 259-1600
Organizations & group practices 11
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.
-
- Physical Therapist
- Southaven, MS
- NPI 1114793189
-
- Orthopaedic Surgery Physician
- Memphis, TN
- NPI 1255584009
-
- Orthopaedic Surgery Physician
- Arlington, TN
- NPI 1295440782
-
- Orthopaedic Surgery Physician
- Bartlett, TN
- NPI 1558512178
-
- Orthopaedic Surgery Physician
- Memphis, TN
- NPI 1821435884
-
- Orthopaedic Surgery Physician
- Germantown, TN
- NPI 1942397534
-
- Orthopaedic Surgery Physician
- Hernando, MS
- NPI 1386247328
-
- Orthopaedic Surgery Physician
- Southaven, MS
- NPI 1740688811
-
- Physical Therapy Clinic/Center
- Arlington, TN
- NPI 1952837288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1992470082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6077 PRIMACY PKWY STE 140",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195754",
"telephone_number": "901-725-8347",
"fax_number": "901-259-7637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6286 BRIARCREST AVE STE 200",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381204023",
"telephone_number": "901-261-2506",
"fax_number": "901-261-2590"
}
],
"practiceLocations": [
{
"address_1": "7580 Clarington Cv",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386715657",
"country_code": "US",
"telephone_number": "901-259-1600",
"fax_number": "901-259-1698",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNGBLOOD",
"first_name": "SARAH",
"middle_name": "GRACE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-11",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT-4007",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "7013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.