Active NPI
Casey Younts, PTA
- Physical Therapy Assistant
- Boca Raton, FL
National Provider Identifier
1003341629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A5280
- Practice address
- 5901 Broken Sound Pkwy
Suite 450
Boca Raton, FL 33487-2773 - Phone
- (800) 875-8999
- NPI assigned
- Apr 21, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A5280 | NC | Primary |
| Physical Therapy Assistant | 225200000X | 09463 | OR |
Addresses
Primary practice location
5901 Broken Sound Pkwy
Suite 450
Boca Raton, FL 33487-2773
Mailing address
6933 Charnel LN
Climax, NC 27233-9167
Phone (336) 944-4999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000004319000 | Other | NC | FIRSTCAROLINACARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A5280 | NC | MD | Physical Therapy Assistant |
| 09463 | OR | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492732800000",
"number": "1003341629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6933 CHARNEL LN",
"city": "CLIMAX",
"state": "NC",
"postal_code": "272339167",
"telephone_number": "336-944-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 BROKEN SOUND PKWY",
"address_2": "SUITE 450",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872773",
"telephone_number": "800-875-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNTS",
"first_name": "CASEY",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-21",
"last_updated": "2017-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A5280",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OR",
"license": "09463",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCAROLINACARE",
"identifier": "000004319000",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.