Amanda Marie Younggreen, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

7868 Issued in NC

Practice address

103 Gossman Drive
Southern Pines, NC 28387

Phone

(910) 692-7293

Fax

(910) 692-7293

NPI assigned

Mar 6, 2012

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

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": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1124392360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 COMMUNITY RD",
            "address_2": "#4",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "28374",
            "telephone_number": "843-599-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 GOSSMAN DRIVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "28387",
            "telephone_number": "910-692-7293",
            "fax_number": "910-692-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGGREEN",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "7868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelwilbed O. Wray, NCC, CAS, LCMHC-S
• Wright and Associates X DDS PA
• Rose Ann Yarborough, M.A.
• Angela Lynn Yatkowski, PTA
• Jamil Brian Young, DDS
• Zeh Chiropractic Center PA
• Todd J Zeh, DC
• Kendall Reid Zmiewsky, MD
• Patricia Ann Zoellner, OTRL

• Occupational Therapy Assistant in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.