Active NPI
Jayne Young, OT
- Occupational Therapist
- Old Saybrook, CT
National Provider Identifier
1013202514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 001528
- Practice address
- 1775 Boston Post Rd
Old Saybrook, CT 06475-1643 - Phone
- (860) 399-6216
- Fax
- (860) 399-4053
- NPI assigned
- Jun 13, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 001528 | CT | Primary |
Addresses
Primary practice location
1775 Boston Post Rd
Old Saybrook, CT 06475-1643
Mailing address
1775 Boston Post Rd
Old Saybrook, CT 06475-1643
Phone (860) 399-6216
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001528 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1013202514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 BOSTON POST RD",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064751643",
"telephone_number": "860-399-6216",
"fax_number": "860-399-4053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 BOSTON POST RD",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064751643",
"telephone_number": "860-399-6216",
"fax_number": "860-399-4053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JAYNE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-13",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "001528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Saybrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.