Nicholas Gregg Young, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1390204 Issued in TX

Practice address

1513 Hidden Springs Rd
Decatur, TX 76234-4697

Phone

(432) 266-8571

NPI assigned

May 29, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Therapy Group LLCGroup PAC ID 0648636597, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Active Therapy Group LLC

  • Physical Therapy Clinic/Center
  • Waco, TX
  • NPI 1326745647
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1528808334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 HIDDEN SPRINGS RD",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762344697",
            "telephone_number": "432-266-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 HIDDEN SPRINGS RD",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762344697",
            "telephone_number": "432-266-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "NICHOLAS",
        "middle_name": "GREGG",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2677",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1390204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wise Pediatrics PA
• Wise Performance Physical Therapy Limited Partnership
• Wise Performance Physical Therapy Limited Partnership
• Yba Consulting Inc (Medical Center Pharmacy)
• Amy Elizabeth Young, LCSW
• Henock G Zabher, M.D.
• Nicholas Robert Zelner, PTA
• Aamir Zuberi, M.D.

• Physical Therapist in Decatur, TX
• Providers in Decatur, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.