Timothy Young

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT030934 Issued in PA

Practice address

2870 Audubon Village Dr
Audubon, PA 19403-2262

Phone

(610) 699-9977

Fax

(610) 699-9988

NPI assigned

Nov 21, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Progress Physical Therapy LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1164851085
  Medicare reassignment Care Compare group NPD
• Orthopedic and Sports Physical Therapy Services, Inc.

  dba Excel Physical Therapy

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1588661235
  Medicare reassignment NPD
• Physical Therapy and Wellness Institute LLC

  • Physical Therapist
  • Lansdale, PA
  • NPI 1740208339
  Medicare reassignment NPD

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1114636891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411195",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022411195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 AUDUBON VILLAGE DR",
            "city": "AUDUBON",
            "state": "PA",
            "postal_code": "194032262",
            "telephone_number": "610-699-9977",
            "fax_number": "610-699-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa White, LPC
• Victoria Williamson, MS, OTR/L
• Kellyn Wright
• Justin Yates, PT, DPT
• Yen Care V Inc. (Visiting Angels King of Prussia)
• Wendy Zelikoff-Simkin, PH.D.

• Physical Therapist in Audubon, PA
• Providers in Audubon, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.