Individual provider Active NPI

Brandon S Young, DPT, PT

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1043636764
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7279 Issued in SC
Practice address
1718 Saint Julian PL
Columbia, SC 29204-2410
Phone
(803) 771-0370
Fax
(803) 771-0371
NPI assigned
Mar 6, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7279 SC Primary

Addresses

Primary practice location

1718 Saint Julian PL
Columbia, SC 29204-2410

Mailing address

141 Atrium Way
Columbia, SC 29223-6301
Phone (803) 771-0370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161012002285 SC Practitioner - Physical Therapist in Private Practice 8628366317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

141 Atrium Way
Columbia, SC 29223-6301
Phone (803) 788-8484

1514 Pickens St
Suite a
Columbia, SC 29201-3449
Phone (803) 256-0303

1718 Saint Julian PL
Columbia, SC 29204-2410
Phone (803) 771-0370

229 Saluda Springs Rd
Lexington, SC 29072-6667
Phone (803) 359-0505

75 W Wesmark Blvd
Sumter, SC 29150-1955
Phone (803) 938-5395

851 Hwy 378
Suite 108
Lexington, SC 29072-8365
Phone (803) 756-4690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7279SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Physical Therapy and Sports Medicine Limited Partnership Physical Therapist CurrentSince May 1, 2018 Accepting new patients
Chapin Rehabilitation Clinic, Inc. CurrentSince Jan 15, 2018 Accepting new patients
Chapin Physical Therapy LLC Physical Therapist PastSince Jan 15, 2018 Accepting new patients

Locations

1718 Saint Julian Pl
Columbia, SC 29204
Phone (803) 376-8880

141 Atrium Way
Columbia, SC 29223
Phone (803) 788-8484

1787 S Lake Dr
Ste H
Lexington, SC 29073
Phone (803) 957-0404

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1043636764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 ATRIUM WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236301",
            "telephone_number": "803-771-0370",
            "fax_number": "803-771-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 SAINT JULIAN PL",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042410",
            "telephone_number": "803-771-0370",
            "fax_number": "803-771-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BRANDON",
        "middle_name": "S",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-06",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.