Active NPI
Steven C Young Jr.
- Physical Therapy Assistant
- Royse City, TX
National Provider Identifier
1497532162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2179123
- Practice address
- 125 I 30 E Ste F
Royse City, TX 75189-7513 - Phone
- (469) 513-9310
- NPI assigned
- Sep 14, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-04143 | KS | |
| Physical Therapy Assistant | 225200000X | 2179123 | TX | Primary |
Addresses
Primary practice location
125 I 30 E Ste F
Royse City, TX 75189-7513
Mailing address
600 S Graves St Apt 1714
McKinney, TX 75069-4915
Phone (316) 259-4878
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14-04143 | KS | MD | Physical Therapy Assistant |
| 2179123 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735344000000",
"number": "1497532162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 S GRAVES ST APT 1714",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750694915",
"telephone_number": "316-259-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 I 30 E STE F",
"city": "ROYSE CITY",
"state": "TX",
"postal_code": "751897513",
"telephone_number": "469-513-9310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "STEVEN",
"middle_name": "C",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-14",
"last_updated": "2024-12-28",
"certification_date": "2024-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KS",
"license": "14-04143",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2179123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royse City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.