Individual provider Active NPI

Daria Marie Young, MPT

  • Physical Therapist
  • Red Bank, NJ
National Provider Identifier
1417916636
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA11443 Issued in NJ
Practice address
80 Oak Hill Rd
Red Bank, NJ 07701-5727
Phone
(732) 741-2313
Fax
(173) 274-7623
NPI assigned
Mar 18, 2006
Last updated
Dec 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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 QA11443 NJ Primary

Addresses

Primary practice location

80 Oak Hill Rd
Red Bank, NJ 07701-5727

Mailing address

80 Oak Hill Rd
Red Bank, NJ 07701-5727
Phone (732) 741-2313

Other identifiers 1

IdentifierTypeStateIssuer
40QA01144300OtherNJLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080822000469 NJ Practitioner - Physical Therapist in Private Practice 4880769082 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 Eagle Ave
Ocean, NJ 07712-7631
Phone 732660620011702

Merit-based Incentive Payment System (MIPS)

Final score
72.19 of 100Reported as group
Quality
42.79
Promoting interoperability
95
Improvement activities
40
Cost
68.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA11443NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastpointe Integrated Healthcare LLC Physical Therapist CurrentSince Aug 18, 2014 Accepting new patients
Seaview Orthopaedics & Medical Associates LLP CurrentSince Apr 29, 2019 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince Dec 5, 2016 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Oct 31, 2016 Accepting new patients
Seaview Orthopaedics & Medical Associates LLP Physical Therapist CurrentSince Apr 29, 2019 Accepting new patients

Locations

2373 Highway 36
Atlantic Hlds, NJ 07716
Phone (732) 872-6595

2397 State Route 36
Atlantic Hlds, NJ 07716
Phone (732) 872-6595

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

1640 Route 88 W
Brick, NJ 08724
Phone (732) 458-7866

1640 Route 88 W
Brick, NJ 08724
Phone (732) 458-7866

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

40 Main St
Chatham, NJ 07928
Phone (973) 635-0800

1200 Eagle Ave
Ocean, NJ 07712

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1417916636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 OAK HILL RD",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015727",
            "telephone_number": "732-741-2313",
            "fax_number": "173-274-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 OAK HILL RD",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015727",
            "telephone_number": "732-741-2313",
            "fax_number": "173-274-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DARIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-18",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA11443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "40QA01144300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.