Individual provider Active NPI

Jacob Young, DPT

  • Physical Therapist
  • Center Valley, PA
National Provider Identifier
1073038550
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT033361 Issued in PA
Practice address
5848 Old Bethlehem Pike Ste 102
Center Valley, PA 18034-9341
Phone
(484) 526-7111
NPI assigned
Aug 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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 PT033361 PA Primary

Addresses

Primary practice location

5848 Old Bethlehem Pike Ste 102
Center Valley, PA 18034-9341

Mailing address

1255 Danner Rd Ste 1261
Macungie, PA 18062-8735
Phone (484) 522-1639

Other practice location 1

545 N Mount Juliet Rd Ste 1101
Mount Juliet, TN 37122-3969
Phone (615) 553-4645

Other practice location 2

100 Bluegrass Commons Blvd Ste 120
Hendersonville, TN 37075-2733
Phone (615) 822-8804

Other identifiers 1

IdentifierTypeStateIssuer
0446631MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200224001367 TN Practitioner - Physical Therapist in Private Practice 0941637482 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT033361PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Dec 2, 2019 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Aug 24, 2022 Accepting new patients
St Luke's Hospital PastSince Aug 3, 2025 Accepting new patients
Star Physical Therapy LP Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

545 N Mount Juliet Rd
Ste 1101
Mt Juliet, TN 37122
Phone (615) 553-4645

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

Organizations & group practices 4

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": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1073038550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 DANNER RD STE 1261",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180628735",
            "telephone_number": "484-522-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5848 OLD BETHLEHEM PIKE STE 102",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180349341",
            "telephone_number": "484-526-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 N Mount Juliet Rd Ste 1101",
            "address_purpose": "LOCATION",
            "city": "Mount Juliet",
            "state": "TN",
            "postal_code": "371223969",
            "country_code": "US",
            "telephone_number": "615-553-4645",
            "fax_number": "615-553-4794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Bluegrass Commons Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370752733",
            "country_code": "US",
            "telephone_number": "615-822-8804",
            "fax_number": "615-822-8577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT033361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446631",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.