Active NPI
Everett Curtiss Young, MPT
- Physical Therapist
- Gilbert, AZ
National Provider Identifier
1992990154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7812
- Practice address
- 3345 S. Val Vista Dr
Gilbert, AZ 85246 - Phone
- (480) 897-7125
- Fax
- (480) 857-8250
- NPI assigned
- Sep 11, 2007
- 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 | 7812 | AZ | Primary |
Addresses
Primary practice location
3345 S. Val Vista Dr
Gilbert, AZ 85246
Mailing address
3654 W. Anthem Way
Suite B102
Anthem, AZ 85086
Phone (623) 551-9706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Texas Southwestern Medical School at Dallas, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15905 S 46TH St
Suite 140
Phoenix, AZ 85048-2206
Phone (480) 805-8304
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7812 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waits Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Orthopedic & Sport Rehab Specialists at Anthem, LLC | Physical Therapist | Past | Accepting new patients |
Locations
15905 S 46th St
Ste 140
Phoenix, AZ 85048
Phone (480) 805-8304
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.
-
- Physical Therapist
- Phoenix, AZ
- NPI 1619683240
-
- Physical Therapist
- Anthem, AZ
- NPI 1821109356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253750400000",
"number": "1992990154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3654 W. ANTHEM WAY",
"address_2": "SUITE B102",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "85086",
"telephone_number": "623-551-9706",
"fax_number": "623-551-9708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3345 S. VAL VISTA DR",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85246",
"telephone_number": "480-897-7125",
"fax_number": "480-857-8250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "EVERETT",
"middle_name": "CURTISS",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-11",
"last_updated": "2009-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "7812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.