Individual provider Active NPI

Samantha Young

  • Physical Therapist
  • Danvers, MA
National Provider Identifier
1982489159
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27121 Issued in MA
Practice address
5A Hutchinson Dr
Danvers, MA 01923-3777
Phone
(978) 750-8188
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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 27121 MA Primary

Addresses

Primary practice location

5A Hutchinson Dr
Danvers, MA 01923-3777

Mailing address

5A Hutchinson Dr
Danvers, MA 01923-3777
Phone (978) 750-8188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230913001142 MA Practitioner - Physical Therapist in Private Practice 2264896091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proex Physical Therapy LLCGroup PAC ID 0345212395, 166 clinicians
Harmeling Physical Therapy and Sports Fitness IncGroup PAC ID 8123917929, 17 clinicians

Practice addresses (Care Compare)

155 Federal St
Suite 180
Boston, MA 02110-1727
Phone (617) 542-6999

8 Blackburn Ctr
Gloucester, MA 01930-2268
Phone (978) 283-0888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27121MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harmeling Physical Therapy & Sports Fitness, Inc. Physical Therapist CurrentSince Aug 23, 2023 Accepting new patients
Proex Physical Therapy, LLC Physical Therapist CurrentSince Sep 9, 2025 Accepting new patients
Proex Physical Therapy, LLC CurrentSince Sep 9, 2025 Accepting new patients

Locations

155 Federal St
Ste 180
Boston, MA 02110
Phone (617) 542-6999

10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999

5A Hutchinson Dr
Danvers, MA 01923
Phone (978) 750-8188

8 Blackburn Ctr
Gloucester, MA 01930
Phone (978) 283-0888

255 Grapevine Rd
Wenham, MA 01984
Phone (978) 524-0000

576 Broadhollow Rd
Melville, NY 11747

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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1982489159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5A HUTCHINSON DR",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233777",
            "telephone_number": "978-750-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5A HUTCHINSON DR",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233777",
            "telephone_number": "978-750-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "27121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.