Spencer Young, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT003809 Issued in WV

Practice address

829 Fairmont Rd Ste 103
Morgantown, WV 26501-3892

Phone

(304) 381-2042

NPI assigned

Jun 13, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Spencer Harvey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1750811774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WILKINSON ST",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541867",
            "telephone_number": "304-641-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 FAIRMONT RD STE 103",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265013892",
            "telephone_number": "304-381-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SPENCER",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT003809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SPENCER",
            "last_name": "HARVEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kurt Allen Young II, PR
• Mary Catherine Young
• Mikayla Beth Young, CPNP-PC
• Rebecca Young
• Samantha Young, ATC
• Stephanie Young
• Hafiz Waqar Younis, MBBS
• Olivia Laken Younis, PA-C
• David Russell Younkin, M.D.
• Aneeq Muhammad Yousuf, M.B.B.S.

• Physical Therapist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.