Individual provider Active NPI

Joseph Michael Young, DPT

  • Physical Therapist
  • Windham, NH
National Provider Identifier
1356854616
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22946 Issued in MA
Practice address
32 Indian Rock Rd Unit 5
Windham, NH 03087-1697
Phone
(603) 890-8541
Fax
(603) 890-8736
NPI assigned
Nov 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 22946 MA Primary

Addresses

Primary practice location

32 Indian Rock Rd Unit 5
Windham, NH 03087-1697

Mailing address

32 Indian Rock Rd Unit 5
Windham, NH 03087-1697
Phone (603) 505-0010

Other practice location 1

1595 Bridge St Unit 5
Dracut, MA 01826-2696
Phone (978) 735-4479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190724002703 NH Practitioner - Physical Therapist in Private Practice 3678809985 Reassigns benefits to 1 organization
I20190725001309 MA Practitioner - Physical Therapist in Private Practice 3678809985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scaccia Physical Therapy and Sports Conditioning, LLCGroup PAC ID 9133282312, 7 clinicians
Boston Physical Therapy and Wellness, Inc.Group PAC ID 8123345139, 26 clinicians

Practice addresses (Care Compare)

32 Indian Rock Rd
Unit 5
Windham, NH 03087-1697
Phone (603) 890-8541

40 Asbury St
Hamilton, MA 01936
Phone (781) 874-9294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Physical Therapy & Wellness, Inc Physical Therapist CurrentSince Nov 3, 2025 Accepting new patients

Locations

275 Mystic Ave
Ste C
Medford, MA 02155
Phone (781) 572-2965

40 Asbury St
South Hamilton, MA 01982
Phone (978) 468-4101

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": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1356854616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 INDIAN ROCK RD UNIT 5",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871697",
            "telephone_number": "603-505-0010",
            "fax_number": "603-890-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 INDIAN ROCK RD UNIT 5",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871697",
            "telephone_number": "603-890-8541",
            "fax_number": "603-890-8736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1595 Bridge St Unit 5",
            "address_purpose": "LOCATION",
            "city": "Dracut",
            "state": "MA",
            "postal_code": "018262696",
            "country_code": "US",
            "telephone_number": "978-735-4479",
            "fax_number": "978-735-4490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.