ANDREW YOUNG – Physical Therapist, NPI 1063812477

ANDREW YOUNG is a healthcare provider. based in Waltham, Massachusetts. specializing in Physical Therapist. They hold a License No. 21174 (MA). The NPI Number for ANDREW YOUNG is 1063812477

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW YOUNG
NPI
1063812477
Phone
(781) 894-8880
Address
564 MAIN ST
Enumeration Date
4 September 2014
Last Update Date
4 September 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5082347544
Graduation Year
2014 (12 years ago)
PAC ID
1254657091
Group Practice PAC ID
1153217138
Professional Enrollment ID
I20150313000629
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for ANDREW YOUNG

  • 564 MAIN ST

    WALTHAM, MA 024525516

    Phone: (781) 894-8880

    Mailing address matches the actual address.

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: 2015-03-13

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
I20150313000629IPhysical Therapist In Private PracticeMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02452)

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Provider's Procedures

ANDREW YOUNG performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes27065

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: 1153217138View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeRI
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

Can I use this page to confirm ANDREW YOUNG's NPI?
Yes. ANDREW YOUNG is listed with NPI 1063812477 in the public NPI dataset.
Does CMS list ANDREW YOUNG as active?
Yes — ANDREW YOUNG is active in the NPI listing used on this page.
What is ANDREW YOUNG's primary classification?
Physical Therapist is the headline specialty for ANDREW YOUNG here. Clinical services aligned with this taxonomy classification.
Where is ANDREW YOUNG based?
ANDREW YOUNG is tied to Waltham, Massachusetts in the data we show; additional addresses may exist on the full record.
Is the information about ANDREW YOUNG up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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