Active NPI
Ann Marie Young, OT
- Occupational Therapist
- Benbrook, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 125121
- Practice address
- 6407 Southwest Blvd
Benbrook, TX 76132-2777 - Phone
- (817) 423-5611
- NPI assigned
- Dec 6, 2024
- Last updated
- Dec 6, 2024
- 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 | 125121 | TX | Primary |
Addresses
Primary practice location
6407 Southwest Blvd
Benbrook, TX 76132-2777
Mailing address
PO Box 932184
Atlanta, GA 31193-2184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5632 Edwards Ranch Rd
Suite 110 Fort Worth Physical Therapy
Ft Worth, TX 76109-4102
Phone (817) 259-0600
6407 Southwest Blvd
Benbrook, TX 76132-2777
Phone (817) 423-5611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125121 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Rehab Center Inc | Current | Accepting new patients | |
| Endeavor Rehab Center Inc | Occupational Therapist | Current | Accepting new patients |
Locations
6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533
6407 Southwest Blvd
Benbrook, TX 76132
Phone (817) 423-5611
5632 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 259-0600
896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262
110 Mary Lou Dr
Ste 100
Willow Park, TX 76087
Phone (817) 423-5611
Interoperability endpoints
- ann.young.p1@direct.thc.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1053127837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932184",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311932184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6407 SOUTHWEST BLVD",
"city": "BENBROOK",
"state": "TX",
"postal_code": "761322777",
"telephone_number": "817-423-5611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ANN",
"middle_name": "MARIE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-06",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "125121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Benbrook, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.