Tyler Douglas Young, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

044657 Issued in NY

Practice address

140 Burwell St
Little Falls, NY 13365-1794

Phone

(315) 823-5360

Fax

(315) 823-5321

NPI assigned

Oct 3, 2019

Last updated

Nov 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1598306367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BURWELL ST",
            "city": "LITTLE FALLS",
            "state": "NY",
            "postal_code": "133651794",
            "telephone_number": "315-823-5360",
            "fax_number": "315-823-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BURWELL ST",
            "city": "LITTLE FALLS",
            "state": "NY",
            "postal_code": "133651794",
            "telephone_number": "315-823-5360",
            "fax_number": "315-823-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TYLER",
        "middle_name": "DOUGLAS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-03",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Vogel, LMT
• Lory Webster Vogel, D.C.
• Usha C Wadhera, MD
• Kayla West, PHARMD
• Alan Ira Yallowitz, DMD
• Russell Henry Zelman, MD

• Physical Therapist in Little Falls, NY
• Providers in Little Falls, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.