Individual provider Active NPI

Anthony B Young, PT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1174820005
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
212 N Carpenter St
Chicago, IL 60607-1713
Phone
(708) 460-8588
Fax
(708) 460-8788
NPI assigned
Feb 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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 Primary

Addresses

Primary practice location

212 N Carpenter St
Chicago, IL 60607-1713

Mailing address

19 S la Salle St
Ste 503
Chicago, IL 60603-1444
Phone (312) 640-0329

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110421000428 IL Practitioner - Physical Therapist in Private Practice 4880879642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Physical Therapy Clinics LLCGroup PAC ID 4284872706, 2 clinicians

Practice addresses (Care Compare)

79 W Monroe St
Suite 919
Chicago, IL 60603-4908
Phone (773) 999-9825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physical Therapy Clinics, LLC CurrentSince Mar 1, 2015 Accepting new patients
Core Physical Therapy Clinics, LLC PastSince Mar 1, 2015 Accepting new patients

Locations

954 W Washington Blvd
Ste 505
Chicago, IL 60607
Phone (773) 999-9741

79 W Monroe St
Ste 919
Chicago, IL 60603
Phone (773) 999-9825

212 N Carpenter St
Chicago, IL 60607
Phone (312) 928-9282

11 E Adams St
Ste 1002
Chicago, IL 60603
Phone (773) 999-9825

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": "1297382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1174820005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 S LA SALLE ST",
            "address_2": "STE 503",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606031444",
            "telephone_number": "312-640-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N CARPENTER ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071713",
            "telephone_number": "708-460-8588",
            "fax_number": "708-460-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ANTHONY",
        "middle_name": "B",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-11",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.