Jennifer Christine Young, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

008638 Issued in NY

Practice address

1 Adler Dr
East Syracuse, NY 13057-1223

Phone

(315) 469-1189

Fax

(315) 492-0548

NPI assigned

Nov 12, 2008

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

Other names 1

• Jennifer Christine Carlson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1104070499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3059 HAYFIELD LN",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271625",
            "telephone_number": "315-440-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ADLER DR",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571223",
            "telephone_number": "315-469-1189",
            "fax_number": "315-492-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JENNIFER",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "008638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CARLSON",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda W. Wright, MS
• Edward J Wyluda, D.O.
• Pamela Yager, NP
• Jill Kathleen Yeager, D.O.
• Jack Edward Yoffa, M.D.
• Rachael Zabycz, PA
• Allyson Marie Zakrzewski, M.D.
• Ashley F Zalewski, NO
• Sarah Zaremba, M.S. CCC-SLP
• Jillian Zeppa, MA CF-SLP

• Pediatric Occupational Therapist in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.