Active NPI
Rebecca Young
- Occupational Therapist
- Cleveland, OH
National Provider Identifier
1194117804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.008882
- Practice address
- 10011 Euclid Ave
Cleveland, OH 44106-4701 - Phone
- (216) 791-8363
- Fax
- (216) 791-2539
- NPI assigned
- Mar 4, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT.008882 | OH | Primary |
Addresses
Primary practice location
10011 Euclid Ave
Cleveland, OH 44106-4701
Mailing address
10011 Euclid Ave
Cleveland, OH 44106-4701
Phone (216) 791-8363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8959042 | Medicaid | OH |
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.008882 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Cerebral Palsy Association of Greater Cleveland, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Developmental Disabilities Clinic/Center
- Cleveland, OH
- NPI 1700880325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425427200000",
"number": "1194117804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10011 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441064701",
"telephone_number": "216-791-8363",
"fax_number": "216-791-2539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10011 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441064701",
"telephone_number": "216-791-8363",
"fax_number": "216-791-2539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-04",
"last_updated": "2015-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT.008882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8959042",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.