FELICIA YOUNGBLOOD


Address: 8615 Lullwater Dri, Dallas, TX 75238

FELICIA YOUNGBLOOD (NPI# 1205317286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205317286
Entity Type Individual
Full Name FELICIA YOUNGBLOOD
Credential COTA
Practice Address 8615 Lullwater Dri
Dallas
TX 75238
Mailing Address 1217 Sullivan Dr
Cedar Hill
TX 75104-7341
Mailing Telephone 2145876860
Enumeration Date 2018-08-27
Last Update Date 2018-08-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251N0400X Physical Therapist
Specialization: Neurology
209153 TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
8615 Lullwater Dr, Dallas, TX 752384754
8615 Lullwater Dr, Dallas, TX 752384754 2142210444

Office Location

Street Address 8615 LULLWATER DRI
City DALLAS,
State TX
Zip Code 75238

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NPI Name Taxonomy Address Enumeration
1942704283 Zoom Initiative Incorporated Clinic/Center 12959 Jupiter Rd., Suite 140, Dallas, TX 75238 2018-03-21
1104345321 Lee M Fisher Developmental Therapist 10333 Mosscrest Dr, Dallas, TX 75238 2017-09-19
1548716848 Zoom Health Services Inc Nursing Care 12959 Jupiter Road Suite 140, Dallas, TX 75238 2016-08-28
1356691489 Dallas Emergency Physicians General Acute Care Hospital 11042 Wallbrook Dr., Dallas, TX 75238 2012-09-17
1285993477 Legacy Dental of Mesquite Pllc Dentist 9208-b E. R.l. Thorton Expressway, #209-b, Dallas, TX 75238 2012-05-09
1316257710 T-dental,p.c Dentist 9625 Plano Road, 100, Dallas, TX 75238 2010-10-19
1427286764 Sarah Elizabeth Bryant Dental Hygienist 10405 East Northwest Highway, Suite #301, Dallas, TX 75238 2009-06-25
1285868448 Cordial Care Home Health Services Inc Home Health 10935 Estate Lane Suite 182, Dallas, TX 75238 2009-05-04
1558514695 Lisa Camille Simmons Counselor 12959 Jupiter Ln, Dallas, TX 75238 2008-11-03
1043463342 Lisa Orbach Dentist 10405 E. Northwest Hwy., Suite 306, Dallas, TX 75238 2008-10-30
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Taxonomy Information

Taxonomy Code 2251N0400X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Neurology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356973275 Sunil Mathew Physical Therapist 3012 Double Creek Dr, Grapevine, TX 76051-4251 2020-02-08
1972063634 Napa Center Usa, LLC Physical Therapist 8640 Burnet Rd, Austin, TX 78757 2019-03-20
1982133799 Alishia Lindsay Schmitt Physical Therapist 6913 Camp Bowie Blvd Ste 141, Fort Worth, TX 76116-7165 2017-06-06
1770953655 Alicia Danto Physical Therapist 3601 N Macgregor Way Ste 512, Houston, TX 77004-8004 2015-10-05
1154737740 Michael Furtado Physical Therapist 411 W 14th St, Houston, TX 77008-4111 2014-07-03
1801225289 Zahra Kadivar Physical Therapist 11626 Royal Oaks Vw, Houston, TX 77082-2842 2013-11-05
1912247032 Jesly Lopez Physical Therapist 12055 Sabo Rd Apt 1017, Houston, TX 77089-6290 2013-02-26
1164710943 Joseph Gerard Rauma Physical Therapist 221 Rosa Ln, Nacogdoches, TX 75965-1911 2011-07-14
1013207802 Terri Lynn Moore Physical Therapist 411 N Washington Ave Ste 4000, Dallas, TX 75246-1776 2011-04-13
1053628776 Kelly Twohey-byrne Physical Therapist 4141 Sw Fwy Ste 100, Houston, TX 77027-7330 2010-09-01
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Competitor

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City DALLAS,
Zip Code 75238

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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