Young Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

27406 Issued in CA

Legal business name

YOUNG PHYSICAL THERAPY

Doing business as

Young Physical Therapy Specialty Center

Practice address

42301 10TH St W
Lancaster, CA 93534-7000

Phone

(661) 942-2202

Fax

(661) 942-2203

NPI assigned

Jul 23, 2008

Last updated

Apr 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Younghoon Kim, PHYSICAL THERAPISTNPI 1629233234

Title

President

Phone

(661) 942-2202

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Young Physical Therapy Specialty Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Younghoon Kim, PT,DPT,OCS,CSCS

  • Orthopedic Physical Therapist
  • Lancaster, CA
  • NPI 1629233234
  Medicare reassignment Care Compare group NPD Authorized official
• June Grace Mendez, PT

  • Physical Therapist
  • Lancaster, CA
  • NPI 1366834871
  Medicare reassignment Care Compare group NPD
• Ramina May Kristin Rotol, PT

  • Physical Therapist
  • Lancaster, CA
  • NPI 1871397117
  Medicare reassignment Care Compare group NPD
• David Aaron Braidic, OTR/L

  • Occupational Therapist
  • Lancaster, CA
  • NPI 1265687453
  NPD (past)
• Adriana Costa, PTA

  • Physical Therapy Assistant
  • Lancaster, CA
  • NPI 1609335280
  NPD (past)
• Sungkwan Cho

  • Physical Therapist
  • Manassas, VA
  • NPI 1043550031
  NPD (past)

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1215192901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42301 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347000",
            "telephone_number": "661-942-2202",
            "fax_number": "661-942-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42301 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347000",
            "telephone_number": "661-942-2202",
            "fax_number": "661-942-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNGHOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-942-2202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "27406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PVERIFY",
            "identifier": "T7KD",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TRANSACTION ACCESS NUMBER(PTAN)",
            "identifier": "AX983",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young Physical Therapy Specialty Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yoong Jong Park MD Inc
• Chanice Youell
• Poincianna Youell, NP
• Young J. Ko, MD a Medical Corp
• Young K. Lai, M.D., Medical Corporation
• Alan Leroy Young
• Daveion Young
• Sandra Diane Young
• Tina L. Young, PA-C
• Tracy Young

• Physical Therapy Clinic/Center in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.