Active NPI
Schonett Merie Young, OTR
- Occupational Therapist
- Creede, CO
National Provider Identifier
1053634261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.0003485
- Practice address
- 1441 Usfs Rd 507 1a
Creede, CO 81130-9655 - Phone
- (775) 287-4886
- NPI assigned
- Mar 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0217 | NV | |
| Occupational Therapist | 225X00000X | 017170 | NY | |
| Occupational Therapist | 225X00000X | OT3467 | NM | |
| Occupational Therapist | 225X00000X | OT.0003485 | CO | Primary |
Addresses
Primary practice location
1441 Usfs Rd 507 1a
Creede, CO 81130-9655
Mailing address
760 Marsh Ave.
Reno, NV 89509
Phone (775) 287-4886
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 |
|---|---|---|---|
| OT.0003485 | CO | MD | Occupational Therapist |
| OT3467 | NM | MD | Occupational Therapist |
| 0217 | NV | MD | Occupational Therapist |
| 017170 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1053634261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 MARSH AVE.",
"city": "RENO",
"state": "NV",
"postal_code": "89509",
"telephone_number": "775-287-4886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 USFS RD 507 1A",
"city": "CREEDE",
"state": "CO",
"postal_code": "811309655",
"telephone_number": "775-287-4886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "SCHONETT",
"middle_name": "MERIE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-03",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NV",
"license": "0217",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "017170",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "OT3467",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0003485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Creede, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.