Individual provider Active NPI

Noelle Young, PT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1518107705
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-009711 Issued in AZ
Practice address
1661 E Camelback Rd Ste 152
Phoenix, AZ 85016-3921
Phone
(602) 955-8885
Fax
(602) 955-8895
NPI assigned
Feb 27, 2009
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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 LPT-009711 AZ Primary

Addresses

Primary practice location

1661 E Camelback Rd Ste 152
Phoenix, AZ 85016-3921

Mailing address

1661 E Camelback Rd Ste 152
Phoenix, AZ 85016-3921
Phone (602) 955-8885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120522001041 AZ Practitioner - Physical Therapist in Private Practice 7618034505 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-009711AZMDPhysical Therapist
8243MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Mar 1, 2018 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Mar 1, 2018 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
SLK Inc PastSince Jun 8, 2015 Accepting new patients
BHSM Rehabilitation, LLC Past Accepting new patients

Locations

23478 N Sundance Pkwy
Ste 104
Buckeye, AZ 85326
Phone (623) 257-9462

2940 E Banner Gateway Dr
Ste 425
Gilbert, AZ 85234
Phone (480) 543-2000

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

5605 W Eugie Ave
Ste 212
Glendale, AZ 85304
Phone (480) 210-6445

6320 W Union Hills Dr
Ste 265
Glendale, AZ 85308
Phone (602) 373-6724

1661 E Camelback Rd
Ste 152
Phoenix, AZ 85016
Phone (602) 955-8885

20045 N 19th Ave
Bldg 8
Phoenix, AZ 85027
Phone (623) 374-2424

2942 N 7th Ave
Ste A101
Phoenix, AZ 85013
Phone (602) 277-0084

20851 E Rittenhouse Rd
Ste E103
Queen Creek, AZ 85142
Phone (480) 677-2800

Organizations & group practices 6

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": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1518107705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 E CAMELBACK RD STE 152",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163921",
            "telephone_number": "602-955-8885",
            "fax_number": "602-955-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 E CAMELBACK RD STE 152",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163921",
            "telephone_number": "602-955-8885",
            "fax_number": "602-955-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "NOELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-27",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-009711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.