Individual provider Active NPI

Cheryl Young, PT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1982657110
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
761 Issued in TN
Practice address
5201 Kingston Pike
Knoxville, TN 37919-5026
Phone
(865) 770-5100
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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 761 TN Primary

Addresses

Primary practice location

5201 Kingston Pike
Knoxville, TN 37919-5026

Mailing address

10910 Kingston Pike
Suite 107
Knoxville, TN 37934-2948
Phone (865) 342-7823

Other practice location 1

10910 Kingston Pike
Suite 107
Knoxville, TN 37934-2948
Phone (865) 342-7823

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
761TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc Past Accepting new patients
Familycare Specialists PC Past Accepting new patients

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1982657110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10910 KINGSTON PIKE",
            "address_2": "SUITE 107",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342948",
            "telephone_number": "865-342-7823",
            "fax_number": "865-342-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195026",
            "telephone_number": "865-770-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10910 Kingston Pike",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379342948",
            "country_code": "US",
            "telephone_number": "865-342-7823",
            "fax_number": "865-342-7824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CHERYL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.