Individual provider Active NPI

Young Conley

  • Physical Therapist
  • Royal Palm Beach, FL
National Provider Identifier
1487660239
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 21609 Issued in FL
Practice address
440 N State Road 7
Suite a
Royal Palm Beach, FL 33411-3504
Phone
(561) 803-8676
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2012

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 PT 21609 FL Primary

Addresses

Primary practice location

440 N State Road 7
Suite a
Royal Palm Beach, FL 33411-3504

Mailing address

6764 Coral Reef St
Lake Worth, FL 33467-7633
Phone (352) 214-8703

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061030000168 FL Practitioner - Physical Therapist in Private Practice 3971500240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

440 N State Rd
Suite 7
Royal Palm Beach, FL 33411-3504
Phone (561) 798-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 21609FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Bone & Joint Surgery of the Palm Beaches, P.a. CurrentSince Jan 1, 2015 Accepting new patients
Center for Bone & Joint Surgery of the Palm Beaches, P.a. CurrentSince Jan 1, 2015 Accepting new patients
One to One Physical Therapy, Inc. Physical Therapist PastSince Jul 8, 2019 Accepting new patients

Locations

440 N State Road 7
Ste A
Royal Palm Beach, FL 33411
Phone (561) 784-7329

440 N State Road 7
Ste 101103
Royal Palm Beach, FL 33411

10131 Forest Hill Blvd
Ste 230
West Palm Beach, FL 33414

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: young.conley.1@22724.direct.athenahealth.com

Organizations & group practices 3

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1487660239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6764 CORAL REEF ST",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677633",
            "telephone_number": "352-214-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N STATE ROAD 7",
            "address_2": "SUITE A",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334113504",
            "telephone_number": "561-803-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "YOUNG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 21609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.