Wendy L Youngberg, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

001489 Issued in MO

Practice address

1335 NW Broad St
Murfreesboro, TN 37129-4428

Phone

(888) 362-8704

NPI assigned

Mar 18, 2024

Sex

Female

Sole proprietor

Yes

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

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aegis Group Practice LLC

  • Occupational Therapist
  • Kirkwood, MO
  • NPI 1558819508
  Medicare reassignment NPD
• Key Rehabilitation,Inc.

  • Psychologist
  • Salem, MO
  • NPI 1821335613
  Medicare reassignment NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030

  Occupational Therapist

  NPD
• Key Rehabilitation, Inc

  • Clinical Psychologist
  • Fargo, ND
  • NPI 1679328975
  NPD

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1093574154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SPLIT RAIL DR",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648017192",
            "telephone_number": "417-825-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 NW BROAD ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294428",
            "telephone_number": "888-362-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBERG",
        "first_name": "WENDY",
        "middle_name": "L",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "001489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John-Michael Noah Young, CRNA
• Kala Young, ATC, LAT
• Kimberly Dawn Young, PTA
• Mary Jane Young, CRNA
• Robin Dianne Young, APN
• Your Choice Selection
• Your Choice Selection LLC
• Your Choice Selection LLC
• Sarah E Youssef, PTA
• Justin Jeffrey Yule

• Occupational Therapist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.