MEDICARE: MRS. SARAH YOUNTS COKER DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	6534	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	13618913	OTHER	CAQH
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710287156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH YOUNTS COKER DPT

Provider Business Mailing Address
First Line	:	28 LONGWOOD DR
Second Line	:
City	:	AIKEN
State	:	SC
Zip	:	29803-5352
Country	:	US
Telephone Number	:	803-646-2980
Fax Number	:

Provider Business Practice Location Address
First Line	:	28 LONGWOOD DR
Second Line	:
City	:	AIKEN
State	:	SC
Zip	:	29803-5352
Country	:	US
Telephone Number	:	803-646-2980
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2010
Last Update Date	:	01/21/2026

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