Active NPI
Timothy P Young, M.D.
- Physical Medicine & Rehabilitation Physician
- Salem, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD436939
- Practice address
- 70 Butler St.
Salem, NH 03079 - Phone
- (603) 893-2900
- Fax
- (603) 893-1628
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 200600824 | NC | |
| Physical Medicine & Rehabilitation Physician | 208100000X | MD436939 | PA | Primary |
Addresses
Primary practice location
70 Butler St.
Salem, NH 03079
Mailing address
70 Butler St.
Salem, NH 03079
Phone (603) 893-2900
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023289300001 | Medicaid | PA | |
| 1423K | Other | NC | NCBCBS |
| 5904301 | Medicaid | NC | |
| N0082B | Medicaid | SC | |
| 0203238 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Tulane University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
105 Corporate Dr
Portsmouth, NH 03801-6825
Phone (603) 501-5584
70 Butler St
Salem, NH 03079-3925
Phone (603) 501-5584
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200600824 | NC | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| NRHN Rehab Physician Services, Inc | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Saint Raphael Faculty Physicians | Past | Accepting new patients | |
| Gaylord Hospital, Inc. | Past | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
105 Corporate Dr
Portsmouth, NH 03801
Phone (603) 501-5500
70 Butler St
Salem, NH 03079
Phone (603) 893-2900
Interoperability endpoints
- https://api.platform.athenahealth.com/6076/brand/1/csg/1/fhir/r4
- timothy.young.1@6076.direct.athenahealth.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Northeast Rehabilitation Hospital Network | Hospital | Corporate Officer | Jul 1, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Organizations & group practices 5
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.
-
- Physical Medicine & Rehabilitation Physician
- Portsmouth, NH
- NPI 1831436633
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Physical Medicine & Rehabilitation
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Long Term Care Hospital
- Wallingford, CT
- NPI 1730137753
-
- Internal Medicine Physician
- New Haven, CT
- NPI 1932138138
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Salem, NH
- NPI 1255354288
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1265454664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 BUTLER ST.",
"city": "SALEM",
"state": "NH",
"postal_code": "03079",
"telephone_number": "603-893-2900",
"fax_number": "603-893-1628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 BUTLER ST.",
"city": "SALEM",
"state": "NH",
"postal_code": "03079",
"telephone_number": "603-893-2900",
"fax_number": "603-893-1628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "TIMOTHY",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NC",
"license": "200600824",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "MD436939",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023289300001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCBCBS",
"identifier": "1423K",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5904301",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N0082B",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0203238",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.