Active NPI
Elyse Marie Young, OTD, OTR/L
- Occupational Therapist
- Homewood, AL
National Provider Identifier
1043140296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6622
- Practice address
- 200 Wildwood Pkwy
Homewood, AL 35209-7255 - Phone
- (205) 638-6289
- NPI assigned
- May 20, 2026
- 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 | 6622 | AL | Primary |
Addresses
Primary practice location
200 Wildwood Pkwy
Homewood, AL 35209-7255
Mailing address
3550 Grandview Pkwy Apt 2712
Birmingham, AL 35243-1949
Phone (501) 240-7681
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 |
|---|---|---|---|
| 6622 | AL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1043140296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 GRANDVIEW PKWY APT 2712",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352431949",
"telephone_number": "501-240-7681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WILDWOOD PKWY",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "352097255",
"telephone_number": "205-638-6289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ELYSE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-20",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "6622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homewood, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.