Individual provider Active NPI

Catherine T Young, DPT

  • Physical Therapist
  • San Ramon, CA
National Provider Identifier
1104639657
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
350 Bollinger Canyon LN
San Ramon, CA 94582-4592
Phone
(925) 735-6414
NPI assigned
Jan 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 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 CA Primary

Addresses

Primary practice location

350 Bollinger Canyon LN
San Ramon, CA 94582-4592

Mailing address

2991 Santos LN Apt 105
Walnut Creek, CA 94597-7571
Phone (909) 201-9116

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250206001398 CA Practitioner - Physical Therapist in Private Practice 7719417757 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
California Sports Physical Therapy Centers Inc CurrentSince Feb 3, 2025 Accepting new patients
California Sports Physical Therapy Centers Inc Physical Therapist CurrentSince Feb 3, 2025 Accepting new patients
California Sports Physical Therapy Centers, Inc. Physical Therapist Current Accepting new patients

Locations

20211 Patio Dr
Ste 205
Castro Valley, CA 94546
Phone (510) 537-3991

101 Wilson Rd
Ste C
Monterey, CA 93940
Phone (831) 375-1885

2217 Sunset Blvd
Ste 711
Rocklin, CA 95765
Phone (916) 435-3500

350 Bollinger Canyon Ln
Ste A
San Ramon, CA 94582
Phone (925) 735-6414

5910 Pacific Ave
Stockton, CA 95207
Phone (209) 475-1000

5910 Pacific Ave
#I
Stockton, CA 95207
Phone (209) 475-1000

2792 Naglee Rd
Tracy, CA 95304
Phone (209) 433-6510

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

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": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1104639657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2991 SANTOS LN APT 105",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945977571",
            "telephone_number": "909-201-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BOLLINGER CANYON LN",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945824592",
            "telephone_number": "925-735-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CATHERINE",
        "middle_name": "T",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.