Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. SALLY ANN YOUNG A.T.C.-L
NPI 1053386474
Contractor in Fort Wayne, IN

Active since February 20, 2006
3946 ICE WAY, FORT WAYNE, IN 46805(260) 266-4007 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2026, Jul 13, 2026 (2 updates tracked since 2026).

About Mrs. Sally Ann Young A.t.c.-l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SALLY ANN YOUNG A.T.C.-L (NPI 1053386474) is an individual contractor provider in Fort Wayne, Indiana, licensed in Indiana (36000029A) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1053386474
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NameMRS. SALLY ANN YOUNGCredential: A.T.C.-L
Location Address3946 ICE WAYFort Wayne, IN 46805-1018
Mailing Address3946 Ice WayFort Wayne, IN 46805-1018 · (260) 266-4007
Sole ProprietorNo
Enumeration DateFebruary 20, 2006
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
NPI 1053386474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
License Licensed in IN · 36000029A
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
3946 ICE WAY, Fort Wayne, IN 46805

Other Names 1

Former Name (1)Sally Young Lat, Atc

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally Young's NPI number?

The NPI number for Sally Young is 1053386474. It was assigned to this individual provider in the NPPES registry on February 20, 2006. The provider is also known as Sally Young Lat, Atc.

Where is Sally Young located?

Sally Young practices at 3946 Ice Way, Fort Wayne, IN 46805. The listed phone number is (260) 266-4007.

What is Sally Young's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Sally Young was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.