Active NPI
Emily Margaret Young I, P.T.
- Orthopedic Physical Therapist
- Paducah, KY
National Provider Identifier
1790878031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 004613
- Practice address
- 415 N 7TH St
Paducah, KY 42001-1021 - Phone
- (270) 217-4748
- NPI assigned
- Oct 1, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 004613 | KY | Primary |
Addresses
Primary practice location
415 N 7TH St
Paducah, KY 42001-1021
Mailing address
415 N 7TH St
Paducah, KY 42001-1021
Phone (270) 217-4748
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000358059 | Other | KY | ANTHEM PIN NUMBER |
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 |
|---|---|---|---|
| 004613 | KY | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1790878031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N 7TH ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420011021",
"telephone_number": "270-217-4748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N 7TH ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420011021",
"telephone_number": "270-217-4748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "EMILY",
"middle_name": "MARGARET",
"name_suffix": "I",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "KY",
"license": "004613",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN NUMBER",
"identifier": "000000358059",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.