Kelly Young

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

60368 Cotton Gin Port Rd
Amory, MS 38821-9104

Phone

(662) 257-3669

Fax

(662) 257-3961

NPI assigned

Apr 29, 2025

Sex

Female

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 MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Breakthrough Physical TherapyGroup PAC ID 3971959099, 9 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.

• Breakthrough Physical Therapy

  • Physical Therapist
  • Amory, MS
  • NPI 1396522736
  Medicare reassignment Care Compare group NPD
• Breakthrough Physical Therapy

  • Physical Therapist
  • Nettleton, MS
  • NPI 1144159294
  NPD (past)

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1194513101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60368 COTTON GIN PORT RD",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388219104",
            "telephone_number": "662-257-3669",
            "fax_number": "662-257-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60368 COTTON GIN PORT RD",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388219104",
            "telephone_number": "662-257-3669",
            "fax_number": "662-257-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Amory Elementary School
• Chelsea Williams
• Claire Wiygul, M.S., CCC-SLP
• Alexandra Jade Worthy, DO
• Lauren Wright, PHARMD
• Jamee Fratesi Zepponi, PT

• Physical Therapist in Amory, MS
• Providers in Amory, MS by specialty
• Physical Therapist in Mississippi

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