Active NPI
Laura Jean Young, PT MSPT
- Physical Therapist
- Greenville, RI
National Provider Identifier
1255377628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT01753
- Practice address
- 1 Garnett LN
Northern Ri Physical Therapy
Greenville, RI 02828-1414 - Phone
- (401) 949-0380
- Fax
- (401) 949-5581
- NPI assigned
- Jun 22, 2006
- Last updated
- Oct 19, 2011
- 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 | PT01753 | RI | Primary |
Addresses
Primary practice location
1 Garnett LN
Northern Ri Physical Therapy
Greenville, RI 02828-1414
Mailing address
1 Garnett LN
Northern Ri Physical Therapy
Greenville, RI 02828-1414
Phone (401) 949-0380
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6400145 | Other | UNITED HEALTH NEW ENGLAND | |
| 75277 | Other | RI | BLUE CROSS |
| 410188 | Other | RI | BLUE CHIP |
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 |
|---|---|---|---|
| Bay State Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Attleboro, MA
- NPI 1194387191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318982400000",
"number": "1255377628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GARNETT LN",
"address_2": "NORTHERN RI PHYSICAL THERAPY",
"city": "GREENVILLE",
"state": "RI",
"postal_code": "028281414",
"telephone_number": "401-949-0380",
"fax_number": "401-949-5581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GARNETT LN",
"address_2": "NORTHERN RI PHYSICAL THERAPY",
"city": "GREENVILLE",
"state": "RI",
"postal_code": "028281414",
"telephone_number": "401-949-0380",
"fax_number": "401-949-5581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "LAURA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "PT MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2011-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT01753",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH NEW ENGLAND",
"identifier": "6400145",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "75277",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "410188",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.