Active NPI
Terry Moyer Young, PT
- Physical Therapist
- Aberdeen, NC
National Provider Identifier
1699717686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2409
- Practice address
- 200 N Poplar St
Aberdeen, NC 28315-2812 - Phone
- (910) 944-1169
- Fax
- (910) 944-1566
- NPI assigned
- Jun 12, 2006
- Last updated
- Dec 30, 2010
- Sex
- Female
- 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 | 2409 | NC | Primary |
Addresses
Primary practice location
200 N Poplar St
Aberdeen, NC 28315-2812
Mailing address
304 Page St
Aberdeen, NC 28315-2008
Phone (910) 944-1169
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B3032 | Other | NC | MED COST |
| 078CW | Other | NC | BLUE CROSS BLUE SHIELD NC |
| FH80000010 | Other | NC | FIRST CAROLINA CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 N Poplar St
Aberdeen, NC 28315-2812
Phone (910) 944-1169
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.17 of 100
- Quality
- 62.34
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2409 | NC | MD | Professional Counselor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Aberdeen, NC
- NPI 1518275858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293667200000",
"number": "1699717686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 PAGE ST",
"city": "ABERDEEN",
"state": "NC",
"postal_code": "283152008",
"telephone_number": "910-944-1169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N POPLAR ST",
"city": "ABERDEEN",
"state": "NC",
"postal_code": "283152812",
"telephone_number": "910-944-1169",
"fax_number": "910-944-1566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "TERRY",
"middle_name": "MOYER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2010-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "2409",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MED COST",
"identifier": "B3032",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD NC",
"identifier": "078CW",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CAROLINA CARE",
"identifier": "FH80000010",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.