Lauren Elyse Young, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.024049 Issued in IL

Practice address

535 E Main St
Evansville, WI 53536-1177

Phone

(773) 360-7287

NPI assigned

Oct 25, 2018

Last updated

Oct 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lauren Elyse Buck Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Core Physical Therapy, LLC

  • Physical Therapist
  • Evansville, WI
  • NPI 1821308313
  Medicare reassignment NPD
• Impact Physical Therapy, LLC

  • Physical Therapist
  • Chicago, IL
  • NPI 1508622614
  NPD

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1891262044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E MAIN ST",
            "city": "EVANSVILLE",
            "state": "WI",
            "postal_code": "535361177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E MAIN ST",
            "city": "EVANSVILLE",
            "state": "WI",
            "postal_code": "535361177",
            "telephone_number": "773-360-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LAUREN",
        "middle_name": "ELYSE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.024049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BUCK",
            "middle_name": "ELYSE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret B Wieser, DMD
• Logan James Wilberding, COTA
• Wilke Chiropractic Office SC
• Peter J Wilke, DC
• Bobbi S Yager
• Maryann Zelmanski Bellman, PTA

• Physical Therapist in Evansville, WI
• Providers in Evansville, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.