OrganizationActive
Forever Young Mobile Physical Therapy LLC
NPI 1295502011 · Physical Medicine & Rehabilitation Physician · North Myrtle Beach, SC
Provider details
- NPI number
- 1295502011
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jodi Young, Owner(910) 239-7834
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2268 Little River Neck Rd
North Myrtle Beach, SC 29582-6265
Phone: (910) 239-7834
Street-level locationGet directions
Mailing address
1109 James Island Ave
North Myrtle Beach, SC 29582-6979
Registry dates
- Enumerated
- 2023-12-12
- Last updated
- 2023-12-12
- Certified
- 2023-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.