Active NPI
Jared Andrew Young, PT
- Physical Therapist
- Pennington, NJ
National Provider Identifier
1790847960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01088100
- Practice address
- 800 Denow Rd
Pennington, NJ 08534-5246 - Phone
- (609) 737-8130
- Fax
- (609) 737-8131
- NPI assigned
- Dec 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 40QA01088100 | NJ | Primary |
Addresses
Primary practice location
800 Denow Rd
Pennington, NJ 08534-5246
Mailing address
558 Walker Ave
West Trenton, NJ 08628-2832
Phone (609) 434-0802
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physical Therapy Center, Inc | Physical Therapist | Past | Accepting new patients |
| Hopewell Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopedic Physical Therapist
- Pennington, NJ
- NPI 1881650224
-
- Physical Therapist
- Columbia, NJ
- NPI 1871598789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790847960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "558 WALKER AVE",
"city": "WEST TRENTON",
"state": "NJ",
"postal_code": "086282832",
"telephone_number": "609-434-0802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 DENOW RD",
"city": "PENNINGTON",
"state": "NJ",
"postal_code": "085345246",
"telephone_number": "609-737-8130",
"fax_number": "609-737-8131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JARED",
"middle_name": "ANDREW",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01088100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pennington, NJ
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.