Randall Ethan Young, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4540 Issued in AR

Practice address

1635 Higdon Ferry Rd Ste G
Hot Springs, AR 71913

Phone

(501) 525-2273

Fax

(501) 525-1773

NPI assigned

Aug 22, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spa City Therapy IncGroup PAC ID 8022144625, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

17.24 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

57.48

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spa City Therapy Inc

  • Physical Therapy Clinic/Center
  • Hot Springs, AR
  • NPI 1265532543

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Spa City Therapy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Hot Springs, AR
  • NPI 1962861054
  NPD

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1699256362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 HIGDON FERRY RD STE G",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136904",
            "telephone_number": "501-525-2273",
            "fax_number": "501-525-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 HIGDON FERRY RD STE G",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "71913",
            "telephone_number": "501-525-2273",
            "fax_number": "501-525-1773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Calella Rd",
            "address_purpose": "LOCATION",
            "city": "Hot Springs Village",
            "state": "AR",
            "postal_code": "719093174",
            "country_code": "US",
            "telephone_number": "501-984-2453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "RANDALL",
        "middle_name": "ETHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "4540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS PHYSICAL THERAPY BOARD",
            "identifier": "4540",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Gail Yarborough, PT
• David Matthew York, APRN
• Young Men'S Christian Association of Hot Springs, Arkansas, Inc.
• Bethany Young, QBHP
• Christopher Mitchell Young, M. D.
• Raven Young
• Richard S Young, MD
• Your Hearts at Home Homecare LLC
• Johnny Zamorano Jr., LA-C
• Ronnie Zarate, LAC

• Physical Therapist in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.