Individual provider Active NPI

Zahra Anne Young, D.P.T.

  • Physical Therapist
  • Normandy Park, WA
National Provider Identifier
1467639765
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00010758 Issued in WA
Practice address
17692 1St Ave. South
Normandy Park, WA 98148
Phone
(206) 241-0477
NPI assigned
Jan 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00010758 WA Primary
Orthopedic Physical Therapist 2251X0800X
Sports Physical Therapist 2251S0007X

Addresses

Primary practice location

17692 1St Ave. South
Normandy Park, WA 98148

Mailing address

17692 1St Ave. South
Normandy Park, WA 98148
Phone (206) 241-0477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080507000372 WA Practitioner - Physical Therapist in Private Practice 8527147180 Reassigns benefits to 2 organizations
I20210929001722 CA Practitioner - Physical Therapist in Private Practice 8527147180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back to Work Prevention and Physical Therapy IncGroup PAC ID 0446444624, 26 clinicians

Practice addresses (Care Compare)

5620 Rainier Ave S
Suite 102
Seattle, WA 98118-2498
Phone (206) 535-8061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00010758WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jet City Holdings, Inc CurrentSince Jan 1, 2018 Accepting new patients
Campus Commons Physical Therapy, Inc. Physical Therapist CurrentSince Apr 4, 2022 Accepting new patients
The Physical Therapy Clinics, Inc. Physical Therapist Past Accepting new patients
Pine Lake Physical Therapy & Sports Rehab, P.S. Orthopedic PastSince Sep 1, 1998 Accepting new patients

Locations

425 University Ave
Ste 140
Sacramento, CA 95825
Phone (916) 927-1333

486 228th Ave NE
Sammamish, WA 98074
Phone (425) 836-8444

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1467639765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17692 1ST AVE. SOUTH",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "98148",
            "telephone_number": "206-241-0477",
            "fax_number": "206-241-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17692 1ST AVE. SOUTH",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "98148",
            "telephone_number": "206-241-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ZAHRA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010758",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normandy Park, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.