Active NPI
Nancy Young, PT
- Physical Therapist
- Lenoir City, TN
National Provider Identifier
1194035006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5518
- Practice address
- 460 Medical Park Dr
Suite 105
Lenoir City, TN 37772-5782 - Phone
- (865) 988-3925
- Fax
- (865) 988-6986
- NPI assigned
- Oct 13, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5518 | TN | Primary |
Addresses
Primary practice location
460 Medical Park Dr
Suite 105
Lenoir City, TN 37772-5782
Mailing address
460 Medical Park Dr
Suite 105
Lenoir City, TN 37772-5782
Phone (865) 988-3925
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3653166 | Medicaid | TN | |
| 4281759 | Other | TN | BLUECROSS BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Consultants of East Tennessee, PLLC | Past | Accepting new patients | |
| Hovis Orthopaedic Clinic PC | Past | Accepting new patients | |
| Orthotennessee | Physical Therapist | Past | Accepting new patients |
| Behavioral Medicine Institute PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Clinical Psychologist
- Knoxville, TN
- NPI 1073674552
-
- Orthopaedic Surgery Physician
- Knoxville, TN
- NPI 1053392043
-
- Pain Medicine (Anesthesiology) Physician
- Knoxville, TN
- NPI 1609890383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1194035006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 MEDICAL PARK DR",
"address_2": "SUITE 105",
"city": "LENOIR CITY",
"state": "TN",
"postal_code": "377725782",
"telephone_number": "865-988-3925",
"fax_number": "865-988-6986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 MEDICAL PARK DR",
"address_2": "SUITE 105",
"city": "LENOIR CITY",
"state": "TN",
"postal_code": "377725782",
"telephone_number": "865-988-3925",
"fax_number": "865-988-6986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "NANCY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-13",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "5518",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3653166",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "4281759",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lenoir City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.