Provider Demographics
NPI:1396705281
Name:YOUNG, SHARON B (PT, DSC)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:B
Last Name:YOUNG
Suffix:
Gender:F
Credentials:PT, DSC
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:B
Other - Last Name:RHODES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:901 LOCKENBIE PL
Mailing Address - Street 2:
Mailing Address - City:DAUPHIN ISLAND
Mailing Address - State:AL
Mailing Address - Zip Code:36528-4438
Mailing Address - Country:US
Mailing Address - Phone:251-404-9502
Mailing Address - Fax:
Practice Address - Street 1:6051 AIRPORT BLVD
Practice Address - Street 2:STE A-1
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608
Practice Address - Country:US
Practice Address - Phone:251-460-0201
Practice Address - Fax:251-460-2848
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH1107225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL650016454OtherMEDICARE RAILROAD
AL51008986OtherBLUE CROSS
AL650016454OtherMEDICARE RAILROAD
AL000008986Medicare ID - Type Unspecified