Healthcare Provider Details

I. General information

NPI: 1427967488
Provider Name (Legal Business Name): JAMES KENNETH YOUNGS PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2408 32ND ST STE 1002D
ASTORIA NY
11102-1197
US

IV. Provider business mailing address

2408 32ND ST STE 1002D
ASTORIA NY
11102-1197
US

V. Phone/Fax

Practice location:
  • Phone: 718-734-2373
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT5939
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: