Individual provider Active NPI

Kelsey Day Young, LMT

  • Massage Therapist
  • Anchorage, AK
National Provider Identifier
1831615152
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
121860 Issued in AK
Practice address
541 W 36TH Ave
Anchorage, AK 99503-5804
Phone
(907) 561-1222
NPI assigned
Aug 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 121860 AK Primary

Addresses

Primary practice location

541 W 36TH Ave
Anchorage, AK 99503-5804

Mailing address

653 W 87TH Ave # 2
Anchorage, AK 99515-1714
Phone (971) 678-5635

Other practice location 1

939 W 5th Ave
Anchorage, AK 99501-2049
Phone (907) 276-6000

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
121860AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ireland Clinic of Chiropractic LLC PastSince Jul 1, 1999 Accepting new patients

Organizations & group practices 1

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": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831615152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 W 87TH AVE # 2",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151714",
            "telephone_number": "971-678-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 W 36TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035804",
            "telephone_number": "907-561-1222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "939 W 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995012049",
            "country_code": "US",
            "telephone_number": "907-276-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KELSEY",
        "middle_name": "DAY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "121860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.