Active NPI
Erica Lynn Young, PT
- Physical Therapist
- Campbellsville, KY
National Provider Identifier
1710185517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3814
- Practice address
- 1980 Old Greensburg Rd
Campbellsville, KY 42718-2536 - Phone
- (270) 465-3506
- Fax
- (270) 789-4010
- NPI assigned
- Jul 3, 2007
- 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 | 3814 | KY | Primary |
Addresses
Primary practice location
1980 Old Greensburg Rd
Campbellsville, KY 42718-2536
Mailing address
626 Shawnee Dr
Campbellsville, KY 42718-1644
Phone (270) 789-6545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457424160 | Medicaid | KY |
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 |
|---|---|---|---|
| 3814 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NPI 1790039667 | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- ericayoung@fpal.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710185517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 SHAWNEE DR",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427181644",
"telephone_number": "270-789-6545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1980 OLD GREENSBURG RD",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427182536",
"telephone_number": "270-465-3506",
"fax_number": "270-789-4010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ERICA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "3814",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457424160",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Campbellsville, KY
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.