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
Mailing address9301 N Central Expy, Ste 500, Dallas, TX 75231-0805

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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