Individual provider Active NPI

Cameron Alyssa Young, OTD

  • Pediatric Occupational Therapist
  • Louisville, KY
National Provider Identifier
1114660636
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
277284 Issued in KY
Practice address
1410 Long Run Rd
Louisville, KY 40245-4334
Phone
(502) 244-8011
NPI assigned
Apr 14, 2022
Last updated
Apr 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 277284 KY Primary

Addresses

Primary practice location

1410 Long Run Rd
Louisville, KY 40245-4334

Mailing address

1410 Long Run Rd
Louisville, KY 40245-4334
Phone (502) 244-8011

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cameron.young@greenhilltherapy.org Direct

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

LicenseStateTypeSpecialty
277284KYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Green Hill Therapy Inc CurrentSince Apr 17, 2022 Accepting new patients

Locations

1410 Long Run Rd
Louisville, KY 40245
Phone (502) 244-8011

Organizations & group practices 1

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": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1114660636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 LONG RUN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402454334",
            "telephone_number": "502-244-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 LONG RUN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402454334",
            "telephone_number": "502-244-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CAMERON",
        "middle_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KY",
            "license": "277284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cameron.young@greenhilltherapy.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1410 Long Run Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402454334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.