Individual provider Active NPI

Tyler Young, PT, DPT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1922582949
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-4642 Issued in HI
Practice address
1401 S Beretania St Ste 610
Honolulu, HI 96814-1873
Phone
(808) 521-8165
NPI assigned
Sep 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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 PT-4642 HI Primary

Addresses

Primary practice location

1401 S Beretania St Ste 610
Honolulu, HI 96814-1873

Mailing address

1401 S Beretania St Ste 610
Honolulu, HI 96814-1873

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181127001860 HI Practitioner - Physical Therapist in Private Practice 0941544241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of Hawaii, LLP CurrentSince Oct 1, 2018 Accepting new patients
Queens University Medical Group CurrentSince Dec 8, 2023 Accepting new patients
Orthopedic Services Company, LLP CurrentSince Oct 1, 2018 Accepting new patients

Locations

1401 S Beretania St
Ste 750
Honolulu, HI 96814
Phone (808) 521-8183

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

1401 S Beretania St
Ste 610
Honolulu, HI 96814
Phone (808) 521-8165

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

Organizations & group practices 3

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": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1922582949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 610",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 610",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141873",
            "telephone_number": "808-521-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TYLER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-4642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

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