Individual provider Active NPI

Patricia R Young, P.T.

  • Physical Therapist
  • Marion, OH
National Provider Identifier
1922125434
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT004517 Issued in OH
Practice address
990 S Prospect St
Marion, OH 43302-6283
Phone
(740) 387-2900
Fax
(740) 387-2922
NPI assigned
Mar 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT004517 OH Primary

Addresses

Primary practice location

990 S Prospect St
Marion, OH 43302-6283

Mailing address

14659 County Highway 119
Upper Sandusky, OH 43351-9416
Phone (419) 294-1757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250121002296 OH Practitioner - Physical Therapist in Private Practice 8820527864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Rock Rehabilitation LLCGroup PAC ID 3779492186, 19 clinicians

Practice addresses (Care Compare)

3840 Woodley Rd
Suite D
Toledo, OH 43606-1178
Phone (419) 724-5580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT004517OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
River Rock Rehabilitation, LLC Physical Therapist CurrentSince Mar 1, 2025 Accepting new patients

Locations

3900 Medina Rd
Unit N
Akron, OH 44333
Phone (330) 625-5549

510 W Main St
#B
Canfield, OH 44406
Phone (330) 301-4762

23811 Chagrin Blvd
Ste 120
Cleveland, OH 44122
Phone (216) 273-1656

630 Lexington Ave
Mansfield, OH 44907
Phone (419) 756-0616

990 S Prospect St
Marion, OH 43302
Phone (740) 375-0775

990 S Prospect St
Ste 4
Marion, OH 43302
Phone (740) 387-2900

211 Stocksdale Dr
Ste C
Marysville, OH 43040
Phone (740) 383-3490

3840 Woodley Rd
Ste D
Toledo, OH 43606
Phone (419) 309-1240

4329 Mahoning Ave NW
Warren, OH 44483
Phone (330) 702-0110

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

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922125434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14659 COUNTY HIGHWAY 119",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433519416",
            "telephone_number": "419-294-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 S PROSPECT ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026283",
            "telephone_number": "740-387-2900",
            "fax_number": "740-387-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "PATRICIA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT004517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.