Individual provider Active NPI

Mykeisha L Young, DPT

  • Physical Therapist
  • Ashburn, VA
National Provider Identifier
1144727041
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP014311T Issued in VA
Practice address
43490 Yukon Dr Ste 212
Ashburn, VA 20147-7326
Phone
(703) 729-7920
Fax
(703) 729-7923
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26937 MD
Physical Therapist 225100000X CP014311T VA Primary

Addresses

Primary practice location

43490 Yukon Dr Ste 212
Ashburn, VA 20147-7326

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 756-3107

Other practice location 1

2875 Crain Hwy Ste 6
Waldorf, MD 20601-2841
Phone (301) 859-3304

Other practice location 2

1028 Rockville Pike
Rockville, MD 20852-1404
Phone (301) 838-4445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180504000460 MD Practitioner - Physical Therapist in Private Practice 7113281890 Reassigns benefits to 2 organizations
I20190408002533 DC Practitioner - Physical Therapist in Private Practice 7113281890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Luna Care Physical Therapy LLCGroup PAC ID 4284017419, 123 clinicians

Practice addresses (Care Compare)

5425 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-3588
Phone (866) 525-3175

Merit-based Incentive Payment System (MIPS)

Final score
88.48 of 100Reported as group
Quality
86.04
Promoting interoperability
99
Improvement activities
40
Cost
76.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Apr 6, 2018 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Jun 27, 2025 Accepting new patients
Maryland Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jun 27, 2025 Accepting new patients
The Jackson Clinics LLC Physical Therapist PastSince Oct 30, 2022 Accepting new patients

Locations

5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077

2987 Plaza Dr
Dunkirk, MD 20754
Phone (443) 964-6348

1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

1028 Rockville Pike
Rockville, MD 20852
Phone (301) 838-4445

2875 Crain Hwy
Ste 6
Waldorf, MD 20601
Phone (301) 859-3304

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

Organizations & group practices 5

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1144727041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-756-3107",
            "fax_number": "919-535-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43490 YUKON DR STE 212",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477326",
            "telephone_number": "703-729-7920",
            "fax_number": "703-729-7923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2875 Crain Hwy Ste 6",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206012841",
            "country_code": "US",
            "telephone_number": "301-859-3304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1028 Rockville Pike",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208521404",
            "country_code": "US",
            "telephone_number": "301-838-4445",
            "fax_number": "301-838-1949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MYKEISHA",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26937",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP014311T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.