Individual provider Active NPI

James G Young, MPT

  • Physical Therapist
  • Aliquippa, PA
National Provider Identifier
1578612206
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010361L Issued in PA
Practice address
2284 Broadhead Road
Aliquippa, PA 15001-4685
Phone
(412) 266-1482
Fax
(724) 743-5966
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT010361L PA Primary
Sports Physical Therapist 2251S0007X PT010361L PA
Physical Therapist 225100000X PT-010361-L PA

Addresses

Primary practice location

2284 Broadhead Road
Aliquippa, PA 15001-4685

Mailing address

2284 Broadhead Road
Aliquippa, PA 15001-4685
Phone (412) 266-1482

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070316000111 PA Practitioner - Physical Therapist in Private Practice 1658474473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jamies Physical Therapy and Sports Medicine LLCGroup PAC ID 2668655754, 9 clinicians

Practice addresses (Care Compare)

2284 Brodhead Rd
Aliquippa, PA 15001-4685
Phone (724) 788-1770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-010361-LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jamie's Physical Therapy and Sports Medicine LLC Physical Therapist CurrentSince Nov 18, 2010 Accepting new patients
Athlon Physical Therapy, Inc Physical Therapist PastSince Jul 1, 2003 Accepting new patients

Locations

2284 Brodhead Rd
West Aliquippa, PA 15001
Phone (724) 788-1770

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1578612206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2284 BROADHEAD ROAD",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150014685",
            "telephone_number": "412-266-1482",
            "fax_number": "724-743-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2284 BROADHEAD ROAD",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150014685",
            "telephone_number": "412-266-1482",
            "fax_number": "724-743-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JAMES",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT010361L",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "PA",
            "license": "PT010361L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-010361-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliquippa, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.