Shannon Michele Young, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.0001166 Issued in CO

Practice address

13825 W 85TH Dr Ste 200
Arvada, CO 80005-1328

Phone

(720) 524-4659

Fax

(303) 256-0572

NPI assigned

Sep 29, 2022

Last updated

Sep 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1033833314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20074 W 94TH LN",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800077718",
            "telephone_number": "720-524-4659",
            "fax_number": "303-256-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13825 W 85TH DR STE 200",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800051328",
            "telephone_number": "720-524-4659",
            "fax_number": "303-256-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SHANNON",
        "middle_name": "MICHELE",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "OTA.0001166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry R. Yochum, D.C., D.A.C.B.R.
• Breanna Alisia Young, PA-C
• Heather Young
• Lashica M Young, D.D.S.
• Laura Young, LPC, NBCC
• Sherry Young, OT
• Steven G Young, M.D.
• Taylor Jo Young, LPC
• Lyza Joyce Youngs, APN
• Your Happy Healthy (Side By Side Nutrition)

• Occupational Therapy Assistant in Arvada, CO
• Providers in Arvada, CO by specialty
• Occupational Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.