Individual provider Active NPI

Carly Young, PT, DPT

  • Physical Therapist
  • Eynon, PA
National Provider Identifier
1104458975
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028385 Issued in PA
Practice address
200 Scranton Carbondale Hwy
Eynon, PA 18403-1029
Phone
(570) 291-8563
Fax
(570) 227-1034
NPI assigned
Feb 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 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 PT028385 PA Primary

Addresses

Primary practice location

200 Scranton Carbondale Hwy
Eynon, PA 18403-1029

Mailing address

1681 Abington Rd
North Abington Township, PA 18414-8098
Phone (570) 687-1358

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200303001282 PA Practitioner - Physical Therapist in Private Practice 5092142018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Movement Solutions LLC 4 clinicians

Practice addresses (Care Compare)

200 Scranton Carbondale Hwy
Eynon, PA 18403-1029
Phone (570) 291-8563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT028385PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Solutions LLC Physical Therapist CurrentSince Oct 11, 2021 Accepting new patients
Body Dynamic Physical Therapist PastSince Mar 10, 2022 Accepting new patients

Locations

200 Scranton Carbondale Hwy
Eynon, PA 18403
Phone (570) 291-8563

Organizations & group practices 2

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": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1104458975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 ABINGTON RD",
            "city": "NORTH ABINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184148098",
            "telephone_number": "570-687-1358",
            "fax_number": "570-227-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SCRANTON CARBONDALE HWY",
            "city": "EYNON",
            "state": "PA",
            "postal_code": "184031029",
            "telephone_number": "570-291-8563",
            "fax_number": "570-227-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CARLY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eynon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.