Individual provider Active NPI

Keshia A. Young, PT, DPT

  • Physical Therapist
  • Hanover, MD
National Provider Identifier
1548753346
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27277 Issued in MD
Practice address
7556 Teague Rd Ste 400
Hanover, MD 21076-1213
Phone
(410) 799-4994
Fax
(410) 799-1044
NPI assigned
Jun 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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 27277 MD Primary

Addresses

Primary practice location

7556 Teague Rd Ste 400
Hanover, MD 21076-1213

Mailing address

PO Box 69030
Baltimore, MD 21264-9030
Phone (757) 873-2302

Other practice location 1

200 Hospital Dr
Glen Burnie, MD 21061-5884
Phone (410) 768-5555

Other practice location 2

200 Hospital Dr Ste 400
Glen Burnie, MD 21061-5893
Phone (410) 768-5555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030003150 FL Practitioner - Physical Therapist in Private Practice 3274881057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3831 SW 171St Ter
Miramar, FL 33027-4652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Miracle Workers LLC CurrentSince Jun 9, 2025 Accepting new patients
Virginia Home Therapy LLC Physical Therapist PastSince Nov 22, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1548753346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69030",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649030",
            "telephone_number": "757-873-2302",
            "fax_number": "757-873-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7556 TEAGUE RD STE 400",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761213",
            "telephone_number": "410-799-4994",
            "fax_number": "410-799-1044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210615884",
            "country_code": "US",
            "telephone_number": "410-768-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hospital Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210615893",
            "country_code": "US",
            "telephone_number": "410-768-5555",
            "fax_number": "888-313-5209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KESHIA",
        "middle_name": "A.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.