KACEY W YOUNG – Physical Therapist, NPI 1629277405

KACEY W YOUNG is a healthcare provider. based in Oxford, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT009083 (GA). The NPI Number for KACEY W YOUNG is 1629277405

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
KACEY W YOUNG
NPI
1629277405
Phone
(770) 403-9006
Address
170 BLUE GRASS WAY
Enumeration Date
12 July 2007
Last Update Date
11 April 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7068681707
Graduation Year
2007 (19 years ago)
PAC ID
4880942598
Group Practice PAC ID
2769467034
Professional Enrollment ID
I20180810002764
Address ID
GA308093487EV415XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

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Provider Addresses for KACEY W YOUNG

  • 170 BLUE GRASS WAY

    OXFORD, GA 300544070

    Phone: (770) 403-9006

    Type: Mailing

  • 8230, Hazelbrand Road Northeast, Brentwood, Covington, Newton County, Georgia, 30014, United States

    SUITE A

    COVINGTON, GA 300141518

    Phone: (770) 788-7034

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180810002764IPhysical Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes82869$0
97530Therapy procedure using functional activities56668$0
97140Therapy procedure using manual technique, each 15 minutes37866$0
97162Evaluation for physical therapy, typically 30 minutes6259$0
View full utilization report →

Insurance plans in this area (ZIP 30054)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769467034View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

What identifier follows KACEY W YOUNG across health systems?
The NPI 1629277405 uniquely identifies KACEY W YOUNG in U.S. healthcare data.
Is KACEY W YOUNG's NPI status active today?
Active status means KACEY W YOUNG's NPI record is not deactivated in the public file.
Which specialty label fits KACEY W YOUNG?
NPPES ties KACEY W YOUNG to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to KACEY W YOUNG?
The directory associates KACEY W YOUNG with Oxford, Georgia. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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