NPIMap

Individual provider Active NPI

Patricia Julie Young, PT, D.P.T.

  • Physical Therapy Clinic/Center
  • Northfield, MA
National Provider Identifier
1942273875
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
17287 Issued in MA
Practice address
218 Birnam Rd
Northfield, MA 01360-9526
Phone
(413) 387-0722
NPI assigned
Feb 10, 2006
Last updated
May 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 007771 CT
Physical Therapy Clinic/Center 261QP2000X 17287 MA Primary
Specialist 174400000X 007771 CT

Addresses

Primary practice location

218 Birnam Rd
Northfield, MA 01360-9526

Mailing address

218 Birnam Rd
Northfield, MA 01360-9526
Phone (413) 387-0722

Other identifiers 1

IdentifierTypeStateIssuer
4030166OtherCTCIGNA PROVIDER ID

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
007771CTMDGeneral Practice Dentistry
17287MAMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Napatree Physical Therapy Inc Past Accepting new patients
Napatree Physical Therapy Inc Physical Therapy PastSince Feb 5, 2012 Accepting new patients

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, 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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1942273875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 BIRNAM RD",
            "city": "NORTHFIELD",
            "state": "MA",
            "postal_code": "013609526",
            "telephone_number": "413-387-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 BIRNAM RD",
            "city": "NORTHFIELD",
            "state": "MA",
            "postal_code": "013609526",
            "telephone_number": "413-387-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "PATRICIA",
        "middle_name": "JULIE",
        "name_prefix": "Ms.",
        "credential": "PT, D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CT",
            "license": "007771",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "17287",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "007771",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER ID",
            "identifier": "4030166",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.