Active NPI
Thomas Andrew Young, PT
- Physical Therapist
- Daphne, AL
National Provider Identifier
1962059469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH4764
- Practice address
- 11626 US Highway 90 Ste B
Daphne, AL 36526-8927 - Phone
- (850) 588-9641
- NPI assigned
- Aug 20, 2019
- Sex
- Male
- Sole proprietor
- No
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 | PTH4764 | AL | Primary |
Addresses
Primary practice location
11626 US Highway 90 Ste B
Daphne, AL 36526-8927
Mailing address
20039 Heathrow Dr
Silverhill, AL 36576-3106
Phone (251) 648-4705
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTH4764 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1962059469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20039 HEATHROW DR",
"city": "SILVERHILL",
"state": "AL",
"postal_code": "365763106",
"telephone_number": "251-648-4705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11626 US HIGHWAY 90 STE B",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365268927",
"telephone_number": "850-588-9641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "THOMAS",
"middle_name": "ANDREW",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-20",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH4764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.