Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053386474 Individual Practitioner Female Practitioner

Sally Ann Young , ATC-L

Contractor • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Sally Young, ATC-L is a registered healthcare professional specializing in Contractor in Fort Wayne, IN. Practice services are available at 3946 ICE WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3946 Ice Way

Fort Wayne, IN 468051018

Telephone 2602664007

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.5 Yrs
Regional Practice Density
8 Specialists

Practicing in Fort Wayne, IN (338 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-21
Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License IN 36000029A

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Hannah Detmer

Specialist/Technologist - Athletic Trainer

NPI 1073380341
Evan Jurjevic

Physical Therapist - Sports

NPI 1154990893
Ashley Emerson , LAT, ATC

Specialist/Technologist - Athletic Trainer

NPI 1164924338

Licensed Athletic Trainer, Certified Athletic Trainer

John Velasquez

Specialist/Technologist - Athletic Trainer

NPI 1174234462
Colton Miller , LAT, ATC

Specialist/Technologist - Athletic Trainer

NPI 1245046218

Licensed Athletic Trainer, Certified Athletic Trainer

Julianna Davis , LAT, ATC

Specialist/Technologist - Athletic Trainer

NPI 1275049686

Licensed Athletic Trainer, Certified Athletic Trainer

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 21, 2026

Registered at 3946 ICE WAY, FORT WAYNE, IN 468051018 (Tel: 2602664007)

📍
Updated Business Mailing Address July 21, 2026

Registered at 3946 ICE WAY, FORT WAYNE, IN 468051018 (Tel: 2602664007)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 6422 E STATE ROAD 218, WALTON, IN 469949303 (Tel: 5746262511)

📍
Updated Business Mailing Address July 08, 2007

Registered at 314 W JACKSON ST, GALVESTON, IN 469328791 (Tel: 5746996449)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SALLY YOUNG, A.T.C.-L

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Contractor (License #36000029A in IN)

🟢
Initial NPI Registration & Enumeration February 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053386474
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2006
Last Update: July 21, 2026
Sole Proprietor: No

Mailing Address

3946 Ice Way

Fort Wayne, IN 468051018

Phone: 2602664007

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.