Individual provider Active NPI

Abby Young, LMT

  • Mechanotherapist
  • Gahanna, OH
National Provider Identifier
1487230595
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
022149 Issued in OH
Practice address
830 E Johnstown Rd Ste D
Gahanna, OH 43230-3815
Phone
(937) 844-2798
Fax
(614) 476-5991
NPI assigned
Mar 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 022149 OH Primary

Addresses

Primary practice location

830 E Johnstown Rd Ste D
Gahanna, OH 43230-3815

Mailing address

830 E Johnstown Rd Ste D
Gahanna, OH 43230-3815
Phone (937) 844-2798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
022149OHMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1487230595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 E JOHNSTOWN RD STE D",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303815",
            "telephone_number": "937-844-2798",
            "fax_number": "614-476-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E JOHNSTOWN RD STE D",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303815",
            "telephone_number": "937-844-2798",
            "fax_number": "614-476-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ABBY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "OH",
            "license": "022149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.