Individual provider Active NPI

Katie Patricia Young, DC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1821885096
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9438 Issued in AZ
Practice address
4602 N 16TH St Ste 202
Phoenix, AZ 85016-5161
Phone
(602) 714-3690
Fax
(602) 585-0799
NPI assigned
Apr 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9438 AZ Primary

Addresses

Primary practice location

4602 N 16TH St Ste 202
Phoenix, AZ 85016-5161

Mailing address

26127 N 121St Ave
Peoria, AZ 85383-5801

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

LicenseStateTypeSpecialty
9438AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Team Health and Wellness, LLC CurrentSince Apr 27, 2025 Accepting new patients
Mobile Motion LLC Chiropractor PastSince Apr 27, 2025 Accepting new patients

Locations

4602 N 16th St
Ste 202
Phoenix, AZ 85016
Phone (602) 714-3690

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1821885096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26127 N 121ST AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853835801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 N 16TH ST STE 202",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165161",
            "telephone_number": "602-714-3690",
            "fax_number": "602-585-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KATIE",
        "middle_name": "PATRICIA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "9438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.