Active NPI
Joshua Young, DPT
- Physical Therapist
- Columbia Falls, MT
National Provider Identifier
1295285138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 61965
- Practice address
- 39 6TH St W Unit C
Columbia Falls, MT 59912-3602 - Phone
- (406) 897-2404
- Fax
- (406) 897-2357
- NPI assigned
- Oct 4, 2016
- Sex
- Male
- 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 | 61965 | OR | Primary |
Addresses
Primary practice location
39 6TH St W Unit C
Columbia Falls, MT 59912-3602
Mailing address
PO Box 2828
Columbia Falls, MT 59912-2828
Phone (406) 897-2404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500715879 | Medicaid | OR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513036800000",
"number": "1295285138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2828",
"city": "COLUMBIA FALLS",
"state": "MT",
"postal_code": "599122828",
"telephone_number": "406-897-2404",
"fax_number": "406-897-2357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 6TH ST W UNIT C",
"city": "COLUMBIA FALLS",
"state": "MT",
"postal_code": "599123602",
"telephone_number": "406-897-2404",
"fax_number": "406-897-2357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JOSHUA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-04",
"last_updated": "2017-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "61965",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500715879",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.