Individual provider Active NPI

Jonathan R Young, DPT

  • Physical Therapist
  • Andover, KS
National Provider Identifier
1083935712
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-04016 Issued in KS
Practice address
822 N Andover Rd
Andover, KS 67002-9527
Phone
(316) 247-5499
Fax
(316) 351-5965
NPI assigned
Jun 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 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 11-04016 KS Primary

Addresses

Primary practice location

822 N Andover Rd
Andover, KS 67002-9527

Mailing address

242 N Winterset St
Wichita, KS 67212-6379
Phone (316) 650-5956

Other practice location 1

242 N Winterset St
Wichita, KS 67212
Phone (316) 650-5956

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150401001811 KS Practitioner - Physical Therapist in Private Practice 9739406737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

127 E 6TH Ave
El Dorado, KS 67042-2041
Phone (316) 247-5499

822 N Andover Rd
Andover, KS 67002-9527
Phone (316) 247-5499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy at Fho LLC Physical Therapist CurrentSince Sep 15, 2024 Accepting new patients

Locations

822 N Andover Rd
Ste 206
Andover, KS 67002

822 N Andover Rd
Andover, KS 67002
Phone (316) 247-5499

127 E 6th Ave
El Dorado, KS 67042
Phone (316) 247-5499

Organizations & group practices 1

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": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1083935712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 N WINTERSET ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672126379",
            "telephone_number": "316-650-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 N ANDOVER RD",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670029527",
            "telephone_number": "316-247-5499",
            "fax_number": "316-351-5965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 N Winterset St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "67212",
            "country_code": "US",
            "telephone_number": "316-650-5956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JONATHAN",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.