MEDICARE: JAE JEAN YOUNG

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	225200000X	Physical Therapy Assistant	254	OK

General Provider Information

NPI Number	:	1891493029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAE JEAN YOUNG

Provider Business Mailing Address
First Line	:	5434 S 75TH EAST AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74145-7733
Country	:	US
Telephone Number	:	918-734-0959
Fax Number	:

Provider Business Practice Location Address
First Line	:	5434 S 75TH EAST AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74145-7733
Country	:	US
Telephone Number	:	918-734-0959
Fax Number	:

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

Provider Enumeration Date	:	02/17/2023
Last Update Date	:	02/17/2023

Similar Medicare Providers

1750238945 — SHYLA KAYANN NORRIS
Practice Location Address:

4908 S SHERIDAN RD
TULSA, OK
74145-5712

Practice Phone: 918-984-9153
Practice Fax:

1235086430 — MELISSA DAWN COX
Practice Location Address:

4908 S SHERIDAN RD
TULSA, OK
74145-5712

Practice Phone: 918-984-9153
Practice Fax:

1659229730 — ALEXANDRA PIERCE
Practice Location Address:

4845 S SHERIDAN RD STE 514G
TULSA, OK
74145-5719

Practice Phone: 918-625-3164
Practice Fax:

1306277082 — OKLAHOMA TREATMENT SERVICES LLC
Practice Location Address:

3445 S SHERIDAN RD
TULSA, OK
74145-1105

Practice Phone: 918-610-3366
Practice Fax: 918-610-3344

1619243888 — DR. AMANDA BIGHORSE D.O.
Practice Location Address:

7912 E 31ST CT
TULSA, OK
74145-1315

Practice Phone: 918-743-8200
Practice Fax:

1194544221 — JACEY-LYNN KATHLEEN BENSON
Practice Location Address:

4908 S SHERIDAN RD
TULSA, OK
74145-5712

Practice Phone: 918-984-9153
Practice Fax:

Directions to “ JAE JEAN YOUNG ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.