Individual provider Active NPI

Michelle Young, PT

  • Physical Therapist
  • Livingston, MT
National Provider Identifier
1528678885
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-19312 Issued in MT
Practice address
159 Paradise Dr Ste 1
Livingston, MT 59047-4114
Phone
(406) 220-1421
NPI assigned
Aug 3, 2020
Last updated
Aug 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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 PTP-PT-LIC-19312 MT Primary

Addresses

Primary practice location

159 Paradise Dr Ste 1
Livingston, MT 59047-4114

Mailing address

104 Centennial Dr Ste 101
Livingston, MT 59047-8101
Phone (406) 220-1421

Other practice location 1

104 Centennial Dr Ste 101
Livingston, MT 59047-8101
Phone (406) 222-5519

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Livingston

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
PTP-PT-LIC-19312MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yellowstone Physical Therapy Inc. Physical Therapist CurrentSince Jan 27, 2024 Accepting new patients

Locations

104 Centennial Dr
Ste 101
Livingston, MT 59047
Phone (406) 222-5519

Organizations & group practices 1

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": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1528678885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CENTENNIAL DR STE 101",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590478101",
            "telephone_number": "406-220-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 PARADISE DR STE 1",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590474114",
            "telephone_number": "406-220-1421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Centennial Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "MT",
            "postal_code": "590478101",
            "country_code": "US",
            "telephone_number": "406-222-5519",
            "fax_number": "406-222-0366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-19312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Livingston",
            "affiliation": "N",
            "address_1": "104 Centennial Dr",
            "city": "Livingston",
            "state": "MT",
            "country_code": "US",
            "postal_code": "590478100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Livingston, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.