Individual provider Active NPI

Derek Alan Young, PT

  • Physical Therapist
  • Lubbock, TX
National Provider Identifier
1295081826
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1224400 Issued in TX
Practice address
6202 82ND St
Lubbock, TX 79424-3691
Phone
(806) 687-8008
Fax
(806) 687-8009
NPI assigned
Aug 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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 1224400 TX Primary

Addresses

Primary practice location

6202 82ND St
Lubbock, TX 79424-3691

Mailing address

2431 S Loop 289
Lubbock, TX 79423-1519
Phone (806) 771-7661

Other identifiers 4

IdentifierTypeStateIssuer
320496802MedicaidTX
320496801MedicaidTX
881T55OtherTXBCBS
P01166355OtherTXMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130226000441 TX Practitioner - Physical Therapist in Private Practice 3476708389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Today of Lubbock LPGroup PAC ID 7315836053, 47 clinicians

Practice addresses (Care Compare)

6202 82ND St
Lubbock, TX 79424-3691
Phone (806) 687-8008

Merit-based Incentive Payment System (MIPS)

Final score
72.17 of 100Reported as group
Quality
45.78
Promoting interoperability
92
Improvement activities
40
Cost
68.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Today of Lubbock LP Physical Therapist CurrentSince Nov 2, 2012 Accepting new patients
Physical Therapy Today of Lubbock, LP Physical Therapist CurrentSince Nov 2, 2012 Accepting new patients
Physical Therapy Today of Lubbock LP Physical Therapist Past Accepting new patients

Locations

1506 S Sunset Ave
Ste B
Littlefield, TX 79339
Phone (806) 368-5374

12706 Indiana Ave
Ste 300
Lubbock, TX 79423
Phone (806) 993-5041

2431 S Loop 289
Lubbock, TX 79423
Phone (806) 771-7661

6202 82nd St
Lubbock, TX 79424
Phone (806) 687-8008

4138 19th St
Lubbock, TX 79407
Phone (806) 780-2329

Organizations & group practices 3

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": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1295081826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 S LOOP 289",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231519",
            "telephone_number": "806-771-7661",
            "fax_number": "806-687-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243691",
            "telephone_number": "806-687-8008",
            "fax_number": "806-687-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DEREK",
        "middle_name": "ALAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-01",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1224400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320496802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320496801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "881T55",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01166355",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.