Active NPI
Rachel Young, PT
- Physical Therapist
- Arlington Heights, IL
National Provider Identifier
1710088232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3105 N Wilke Rd
Suite H
Arlington Heights, IL 60004-1495 - Phone
- (847) 255-8690
- Fax
- (847) 255-2260
- NPI assigned
- Sep 26, 2006
- 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 | IL | Primary |
Addresses
Primary practice location
3105 N Wilke Rd
Suite H
Arlington Heights, IL 60004-1495
Mailing address
1358 Warrington Rd
Deerfield, IL 60015-2333
Phone (847) 940-7215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220415000729 | IL | Practitioner - Physical Therapist in Private Practice | 0042606204 | Practice locations: Deerfield, IL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070011219 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710088232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1358 WARRINGTON RD",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600152333",
"telephone_number": "847-940-7215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 N WILKE RD",
"address_2": "SUITE H",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600041495",
"telephone_number": "847-255-8690",
"fax_number": "847-255-2260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "RACHEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.