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

Stefan B Young, PTA

Individual provider Physical Therapy Assistant · NPI 1043996002

Stefan B Young, PTA is a Physical Therapy Assistant in South Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2023.

Licensed in
WV
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

4825 Maccorkle Ave SW Ste F South Charleston WV 2530
South Charleston, WV 25309
Phone: (304) 346-9667
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 002219 (WV)

Record details

NPI number1043996002
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 26, 2023
Last updated in NPPESJune 26, 2023
Certification dateJune 25, 2023

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