Individual provider Active NPI

Emily Young, PT, DPT

  • Physical Therapist
  • Canandaigua, NY
National Provider Identifier
1275365983
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
052582 Issued in NY
Practice address
401 S Main St
Canandaigua, NY 14424-2157
Phone
(332) 249-8848
NPI assigned
Aug 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 052582 NY Primary

Addresses

Primary practice location

401 S Main St
Canandaigua, NY 14424-2157

Mailing address

1900 Route 31 Ste 12
Macedon, NY 14502-8943
Phone (315) 986-4655

Other practice location 1

513 W Union St
Newark, NY 14513-1365
Phone (315) 331-3784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241029001764 NY Practitioner - Physical Therapist in Private Practice 6800329848 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shuman Physical Therapy Associates PCGroup PAC ID 6709869209, 142 clinicians

Practice addresses (Care Compare)

229 Parrish St
Suite 220
Canandaigua, NY 14424-1791
Phone (585) 394-3920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
052582NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brownstone Physical Therapy, P.C. CurrentSince Aug 22, 2024 Accepting new patients
Shuman Physical Therapy Associates, P.C. Physical Therapist CurrentSince Jan 2, 2025 Accepting new patients

Locations

401 S Main St
Canandaigua, NY 14424
Phone (585) 394-1875

229 Parrish St
Ste 220
Canandaigua, NY 14424
Phone (585) 394-3920

1900 State Route 31
Ste 12
Macedon, NY 14502
Phone (315) 331-3784

513 W Union St
Ste 254
Newark, NY 14513
Phone (315) 331-3784

513 W Union St
Newark, NY 14513
Phone (315) 331-3784

1655 Elmwood Ave
Ste 130
Rochester, NY 14620
Phone (585) 442-9110

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1275365983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ROUTE 31 STE 12",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145028943",
            "telephone_number": "315-986-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144242157",
            "telephone_number": "332-249-8848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 W Union St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145131365",
            "country_code": "US",
            "telephone_number": "315-331-3784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "EMILY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.