MICHAEL YOUNGBLOOD (NPI# 1366599045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366599045 |
| Entity Type | Individual |
| Full Name | MICHAEL YOUNGBLOOD |
| Credential | PT |
| Practice Address |
11800 Fm 1960 Rd W Houston TX 77065-3840 |
| Practice Telephone | 2816642107 |
| Practice Fax Number | 2819555875 |
| Mailing Telephone | 2816642107 |
| Mailing Fax Number | 2819555875 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2017-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT1043826 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD PROVIDER RECORD ID | 8T3572 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861543 | Michael Thomas Youngblood | Pharmacist | 3100 Independence Pkwy, Plano, TX 75075-9152 | 2005-06-16 |
| Street Address |
11800 FM 1960 RD W |
| City | HOUSTON |
| State | TX |
| Zip Code | 77065-3840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316949514 | Mariellen Barker | Physical Medicine & Rehabilitation | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2005-06-01 |
| 1992319784 | Ajoey Koshy Abraham | Physician Assistant | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2020-08-31 |
| 1952927345 | Brandon Matthew Lau | Physical Therapist | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2020-06-22 |
| 1437784832 | Elorie Komorita | Physical Therapist | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2020-03-05 |
| 1851922652 | Mikala L Scales | Physical Therapy Assistant | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2020-01-30 |
| 1043701022 | Apple Orthopedics, Pllc | Orthopaedic Surgery | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2018-05-24 |
| 1134610116 | New Day Orthopedics, Pllc | Orthopaedic Surgery | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2018-05-24 |
| 1932618675 | Cypress Surgical Services, Pllc | Physician Assistant | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2017-09-26 |
| 1811427743 | Meaghan Holmes | Occupational Therapist | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2017-06-13 |
| 1154856334 | Shawn Brooks | Physical Therapist | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2017-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275184913 | American Med Resources, LLC | Nursing Care | 12811 Azalea Creek Trail, Houston, TX 77065 | 2019-09-24 |
| 1619445210 | Prativa N Bhandari | Nurse Practitioner | 11307 Farm To Market, W #130, Houston, TX 77065 | 2018-11-13 |
| 1215405923 | Nyla Jacobs | Physical Therapist | 11777 Fm 1960 W, Houston, TX 77065 | 2018-11-12 |
| 1437632460 | Jose Milton Hernandez Mercado | Dentist | 12341 Fm 1960 Rd W Ste A, Houston, TX 77065 | 2018-09-14 |
| 1780164285 | Portal Cypress Dentistry & Orthodontics Pllc | Dentist | 11211 North Eldridge Pkwy, Houston, TX 77065 | 2018-08-15 |
| 1710492368 | Monica Zelaya | Counselor | 11919 Leaf Oak Dr, Houston, TX 77065 | 2017-12-05 |
| 1619494077 | Tam-anh Nguyen | Specialist/Technologist | 9827 Chiselhurst Dr., Houston, TX 77065 | 2017-08-26 |
| 1881110211 | Veronica Arceneaux | Home Health Aide | 12436 F M 1960 West, #191, Houston, TX 77065 | 2017-08-17 |
| 1528590288 | Cini John | Nurse Practitioner | 11810 Fm1960 W., Hc Medical Doctors, Pa, Houston, TX 77065 | 2017-03-31 |
| 1205282480 | Christine Pham | Technician, Cardiology | 11240 Fm 1960 West, St 406 - A, Houston, TX 77065 | 2016-05-06 |
| Find all providers in zip 77065 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790300226 | Jave Del Rosario | Physical Therapist | 3601 N Macgregor Way Ste 514, Houston, TX 77004-8004 | 2020-06-10 |
| 1013542513 | Alexis Nicole Shoope | Physical Therapist | 3300 Cummins St Apt 2329, Houston, TX 77027-5992 | 2020-03-05 |
| 1568001659 | Cinnamon Michelle Martin | Physical Therapist | 1329 Afton St, Houston, TX 77055-6940 | 2020-01-06 |
| 1740765932 | Sean A Maxwell | Physical Therapist | 2500 Fondern Road, Suite 302, Houston, TX 77063 | 2018-10-03 |
| 1952849291 | Stephanie Shereen Feiz-mahdavi | Physical Therapist | 7575 San Felipe St Ste 125, Houston, TX 77063-1776 | 2017-02-07 |
| 1699176206 | Jonathan Ruzicka | Physical Therapist | 4000 Washington Ave Ste 302, Houston, TX 77007-5678 | 2014-09-15 |
| 1659701910 | Chris Goerlich | Physical Therapist | 22452 State Highway 249, Houston, TX 77070-1529 | 2013-11-22 |
| 1962742197 | Fabio Chiari | Physical Therapist | 1235 Clear Lake City Blvd Ste F, Houston, TX 77062-8125 | 2013-02-25 |
| 1528330735 | Michael Damon Dearman | Physical Therapist | 8603 Timberside Dr, Houston, TX 77025-3734 | 2012-02-02 |
| 1497902662 | The Hawkeye Group Incorporated | Physical Therapist | 5320 Elm Street, Houston, TX 77081 | 2008-08-19 |
| Find all providers in HOUSTON | ||||
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| 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.