Active NPI
Justin D Young, DPT
- Physical Therapist
- Nashua, NH
National Provider Identifier
1548089501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT38976
- Practice address
- 17 Prospect St
Nashua, NH 03060-3956 - Phone
- (603) 577-3050
- Fax
- (603) 577-3062
- NPI assigned
- Oct 7, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT38976 | FL | Primary |
Addresses
Primary practice location
17 Prospect St
Nashua, NH 03060-3956
Mailing address
3855 Summer Dr
Pensacola, FL 32504-7538
Phone (478) 390-5105
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 |
|---|---|---|---|
| PT38976 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1548089501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3855 SUMMER DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325047538",
"telephone_number": "478-390-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 PROSPECT ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603956",
"telephone_number": "603-577-3050",
"fax_number": "603-577-3062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JUSTIN",
"middle_name": "D",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-07",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT38976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.