Active NPI
Robert Linwood Young, P.T.
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1790152981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT005871L
- Practice address
- 525 S 4TH St
Suite 254
Philadelphia, PA 19147-1570 - Phone
- (215) 238-9848
- Fax
- (800) 974-4241
- NPI assigned
- Aug 24, 2015
- Sex
- Male
- 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 | PT005871L | PA | Primary |
Addresses
Primary practice location
525 S 4TH St
Suite 254
Philadelphia, PA 19147-1570
Mailing address
6839 Radbourne Rd
Upper Darby, PA 19082-5234
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT005871L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1790152981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6839 RADBOURNE RD",
"city": "UPPER DARBY",
"state": "PA",
"postal_code": "190825234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 S 4TH ST",
"address_2": "SUITE 254",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191471570",
"telephone_number": "215-238-9848",
"fax_number": "800-974-4241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ROBERT",
"middle_name": "LINWOOD",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-24",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT005871L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.