Active NPI
Christopher K Young, MPT
- Physical Therapist
- Gilbert, AZ
National Provider Identifier
1639100563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6103
- Practice address
- 1534 E Ray Rd
Suite 104
Gilbert, AZ 85296-4429 - Phone
- (480) 855-5542
- Fax
- (480) 855-5756
- NPI assigned
- Jul 6, 2006
- 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 | 6103 | AZ | Primary |
Addresses
Primary practice location
1534 E Ray Rd
Suite 104
Gilbert, AZ 85296-4429
Mailing address
1716 E Morelos St
Chandler, AZ 85225-2245
Phone (480) 703-3114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81368 | Medicaid | AZ |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6103 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Workcare Physical Therapy and Rehab Specialists | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Chandler, AZ
- NPI 1528095130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1639100563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1716 E MORELOS ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852252245",
"telephone_number": "480-703-3114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1534 E RAY RD",
"address_2": "SUITE 104",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852964429",
"telephone_number": "480-855-5542",
"fax_number": "480-855-5756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "CHRISTOPHER",
"middle_name": "K",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "6103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "81368",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.