Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Todd Youngblood

Individual provider Physical Therapist · NPI 1518574789

Jonathan Todd Youngblood is a Physical Therapist in Private Practice in Dallas, Texas. Qualified in 2018, 8 years ago. Practices with Ortholonestar PLLC, a 415-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

9301 N Central Expy Ste 500
Dallas, TX 75231-0805
Phone: (214) 220-2468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Sports Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081S0010X · Licence 1309236 (TX)

Record details

NPI number1518574789
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 30, 2020
Last updated in NPPESOctober 14, 2020
Certification dateOctober 14, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ortholonestar Pllc — 415 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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