Active NPI
Stephen Moss Young, MPT OCS
- Physical Therapist
- Summersville, WV
National Provider Identifier
1942280979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2052
- Practice address
- 207 Merchants Walk
Summersville, WV 26651 - Phone
- (304) 872-7498
- Fax
- (304) 872-8144
- NPI assigned
- Jan 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2052 | WV | Primary |
Addresses
Primary practice location
207 Merchants Walk
Summersville, WV 26651
Mailing address
P.O. Box 69
Summersville, WV 26651
Phone (304) 872-7498
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7305025001 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
207 Merchants Walk
Summersville, WV 26651-1901
Phone (304) 872-7498
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2052 | WV | MD | Family Medicine Physician |
| 002052 | WV | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountaineer Physical Therapy & Sports Medicine | Physical Therapist | Current | Accepting new patients |
Locations
223 Maple Ave
Oak Hill, WV 25901
Phone (304) 465-6416
207 Merchants Walk
Summersville, WV 26651
Phone (304) 872-7498
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 and National Provider Directory roles.
-
- Physical Therapist
- Summersville, WV
- NPI 1528047529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1942280979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 69",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "26651",
"telephone_number": "304-872-7498",
"fax_number": "304-872-8144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 MERCHANTS WALK",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "26651",
"telephone_number": "304-872-7498",
"fax_number": "304-872-8144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "STEPHEN",
"middle_name": "MOSS",
"name_prefix": "Mr.",
"credential": "MPT OCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "2052",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7305025001",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Summersville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.