Individual provider Active NPI

Lindsay M Young, PT

  • Physical Therapist
  • Fresno, CA
National Provider Identifier
1336470657
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36429 Issued in CA
Practice address
7405 N Cedar Ave
103
Fresno, CA 93720-3838
Phone
(559) 261-4100
Fax
(559) 261-4101
NPI assigned
Jan 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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 36429 CA Primary

Addresses

Primary practice location

7405 N Cedar Ave
103
Fresno, CA 93720-3838

Mailing address

7405 N Cedar Ave
103
Fresno, CA 93720-3838
Phone (559) 261-4100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100909001069 CA Practitioner - Physical Therapist in Private Practice 9436274743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimal Rehab Abilities, Inc.Group PAC ID 8224090873, 2 clinicians

Practice addresses (Care Compare)

1581 18TH Ave
Kingsburg, CA 93631-2204
Phone (559) 897-5270

7405 N Cedar Ave
Suite 103
Fresno, CA 93720-3838
Phone (559) 261-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Rehab Physical Therapy Inc. Physical Therapist Current Accepting new patients

Locations

7405 N Cedar Ave
Ste 103
Fresno, CA 93720
Phone (559) 261-4100

7405 N Cedar Ave
Fresno, CA 93720

1581 18th Ave
Kingsburg, CA 93631
Phone (559) 897-5270

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1336470657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 N CEDAR AVE",
            "address_2": "103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203838",
            "telephone_number": "559-261-4100",
            "fax_number": "559-261-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 N CEDAR AVE",
            "address_2": "103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203838",
            "telephone_number": "559-261-4100",
            "fax_number": "559-261-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LINDSAY",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.