Individual provider Active NPI

William Tyson Young, PT, DPT

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1932687506
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33882 Issued in FL
Practice address
141 NW 20TH St Ste A3
Boca Raton, FL 33431-7962
Phone
(772) 486-0414
NPI assigned
Aug 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT33882 FL Primary

Addresses

Primary practice location

141 NW 20TH St Ste A3
Boca Raton, FL 33431-7962

Mailing address

7018 Houlton Cir
Lake Worth, FL 33467-8747
Phone (772) 486-0414

Other practice location 1

2900 N Military Trl
Boca Raton, FL 33431-6365
Phone (561) 923-8292

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190219000473 FL Practitioner - Physical Therapist in Private Practice 2961740899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7018 Houlton Cir
Lake Worth, FL 33467-8747

7561 N Federal Hwy
Suite A2
Boca Raton, FL 33487-1603
Phone (727) 486-0414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT33882FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Movement and Performance Single Specialty CurrentSince Jan 13, 2022 Accepting new patients
Revolution Physical Therapy, LLC Physical Therapist CurrentSince May 14, 2021 Accepting new patients

Locations

141 NW 20th St
Ste A3
Boca Raton, FL 33431
Phone (772) 486-0414

7561 N Federal Hwy
Ste A2
Boca Raton, FL 33487
Phone (727) 486-0414

2855 S Congress Ave
Ste C
Delray Beach, FL 33445
Phone (561) 325-8278

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": "1533427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1932687506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7018 HOULTON CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334678747",
            "telephone_number": "772-486-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 NW 20TH ST STE A3",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317962",
            "telephone_number": "772-486-0414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 N Military Trl",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334316365",
            "country_code": "US",
            "telephone_number": "561-923-8292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "WILLIAM",
        "middle_name": "TYSON",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-05",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.