Youthcentrix Therapy Services

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

YOUTHCENTRIX THERAPY SERVICES

Practice address

12 Saffrin Hill CT
Glen Carbon, IL 62034-1561

Phone

(469) 662-6729

NPI assigned

Dec 26, 2016

Last updated

Dec 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela LongNPI 1700025475

Title

Manager

Phone

(469) 662-6729

Specialties & licenses 6

Addresses

Tax ID family

Youthcentrix Therapy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Youthcentrix Therapy Services

  • Occupational Therapist
  • Black Jack, MO
  • NPI 1477098473
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela Long, OT

  • Physical Rehabilitation Occupational Therapist
  • Glen Carbon, IL
  • NPI 1700025475
  Authorized official Same address or phone

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

{
    "created_epoch": "1482710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1265977490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OAK DR",
            "address_2": "#203",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620627004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SAFFRIN HILL CT",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341561",
            "telephone_number": "469-662-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTHCENTRIX THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-26",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-662-6729"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Margaret Worster
• Woven Words Therapy PLLC
• Brett Wright
• Armani Yates
• Staci R Young, MD
• Thomas Zaiz, PA
• Shamira Zakkour
• Tziona Rae Zeffren, OTR/L
• Mildred Zey, LMT
• David Shiyu Zhu, MD

• Occupational Therapist in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.