Individual provider Active NPI

Jason R Young, PT

  • Physical Therapist
  • Owensboro, KY
National Provider Identifier
1437329471
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1605 Scherm Rd
#3
Owensboro, KY 42301-5300
Phone
(270) 685-9499
Fax
(270) 685-9443
NPI assigned
Mar 5, 2008
Last updated
Jul 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IN Primary
Physical Therapist 225100000X 005135 KY

Addresses

Primary practice location

1605 Scherm Rd
#3
Owensboro, KY 42301-5300

Mailing address

3026 Hidden Lake PT
Owensboro, KY 42303-4455
Phone (270) 316-1499

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130808000381 KY Practitioner - Physical Therapist in Private Practice 7618900705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Sports Therapy, LLC.Group PAC ID 3072652916, 9 clinicians

Practice addresses (Care Compare)

1605 Scherm Rd
Suite 1
Owensboro, KY 42301-5300
Phone (270) 685-9499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Sports Therapy, LLC. Physical Therapist CurrentSince Jul 1, 2013 Accepting new patients
Med 1St of Owensboro Past Accepting new patients
Tom Watson's Prosthetics and Orthotics Lab, Inc. Past Accepting new patients
Med 1St of Evansville, PC Physical Therapist Past Accepting new patients

Locations

1605 Scherm Rd
Ste 1
Owensboro, KY 42301
Phone (270) 685-9499

1605 Scherm Rd
Ste 3
Owensboro, KY 42301
Phone (270) 685-9499

Organizations & group practices 4

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": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1437329471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 HIDDEN LAKE PT",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034455",
            "telephone_number": "270-316-1499",
            "fax_number": "270-691-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 SCHERM RD",
            "address_2": "#3",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423015300",
            "telephone_number": "270-685-9499",
            "fax_number": "270-685-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JASON",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-05",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.