Cody A Young, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0860 Issued in SD

Practice address

18 E Kansas City St #101
Rapid City, SD 57701-2971

Phone

(605) 348-9530

Fax

(605) 737-0874

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

High Plains Physical Therapy Associates IncGroup PAC ID 3870589302, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• High Plains Physical Therapy Associates Inc

  • Physical Therapy Clinic/Center
  • Rapid City, SD
  • NPI 1366568743
  Medicare reassignment Care Compare group NPD Authorized official
• Pain & Movement Solutions, LLC

  • Physical Therapist
  • Belle Fourche, SD
  • NPI 1073860144
  NPD

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639267200000",
    "number": "1811971443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 E KANSAS CITY ST #101",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012971",
            "telephone_number": "605-348-9530",
            "fax_number": "605-737-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E KANSAS CITY ST #101",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012971",
            "telephone_number": "605-348-9530",
            "fax_number": "605-737-0874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5610 Peaceful Pines Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Black Hawk",
            "state": "SD",
            "postal_code": "577189556",
            "country_code": "US",
            "telephone_number": "605-716-1300",
            "fax_number": "605-737-0874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CODY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "0860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5831313",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominique Yellowhair
• Kimberly York, OT
• Nichole Yost, CNP,FNP-BC
• Young Counseling LLC
• Amanda L Young, MS, NCC, ACT
• Falon S Young, OD
• Ryan Young
• Vassilia D Young, MD
• Amanda Mytt Youngers, CNM
• Dan Howard Youngren, D.D.S.

• Physical Therapist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.