Individual provider Active NPI

Mark Andrew Young, DPT

  • Physical Therapist
  • Sparta, NJ
National Provider Identifier
1487708160
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA1234300 Issued in NJ
Practice address
13A Main St
Suite 4
Sparta, NJ 07871-1941
Phone
(973) 726-7400
Fax
(973) 726-7440
NPI assigned
Jan 22, 2007
Last updated
May 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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 40QA1234300 NJ Primary

Addresses

Primary practice location

13A Main St
Suite 4
Sparta, NJ 07871-1941

Mailing address

13A Main St
Suite 4
Sparta, NJ 07871-1941
Phone (973) 726-7400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080402000553 NJ Practitioner - Physical Therapist in Private Practice 7315024213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

547 New Rd
Somers Point, NJ 08244-2038
Phone (609) 653-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA1234300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy of New Jersey LLC Physical Therapist CurrentSince May 1, 2014 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Feb 4, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

244 Route 206
Ste 3
Flanders, NJ 07836
Phone (973) 598-3077

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

547 New Rd
Somers Point, NJ 08244
Phone (609) 653-4800

1940 S West Blvd
Bldg A
Vineland, NJ 08360
Phone (856) 690-9977

3722 Lehigh St
Ste 406
Whitehall, PA 18052
Phone (484) 387-1065

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1487708160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13A MAIN ST",
            "address_2": "SUITE 4",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711941",
            "telephone_number": "973-726-7400",
            "fax_number": "973-726-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13A MAIN ST",
            "address_2": "SUITE 4",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711941",
            "telephone_number": "973-726-7400",
            "fax_number": "973-726-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA1234300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.