Active NPI
Eric Deyoung, OT
- Occupational Therapist
- Louisville, KY
National Provider Identifier
1275664666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- R1714
- Practice address
- 13100 Eastpoint Park Blvd
Suite 200
Louisville, KY 40223-3157 - Phone
- (502) 245-0767
- Fax
- (502) 245-1380
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | R1714 | KY | Primary |
Addresses
Primary practice location
13100 Eastpoint Park Blvd
Suite 200
Louisville, KY 40223-3157
Mailing address
13100 Eastpoint Park Blvd
Suite 200
Louisville, KY 40223-3157
Phone (502) 245-0767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000343513 | Other | KY | ANTHEM |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Rehabilitation Inc | Current | Accepting new patients | |
| Orbie Troy Davis | Past | Accepting new patients | |
| Next PT Group Kentucky, LLC | Occupational Therapist | Past | Accepting new patients |
| Safeworks Healthcare | Occupational Therapist | Past | Accepting new patients |
| Occupational Kinetics | Past | Accepting new patients |
Organizations & group practices 5
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.
-
dba Brunswick P.T. Associates, Edwards & Associates P.T.
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- Supply, NC
- NPI 1427142561
-
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- Louisville, KY
- NPI 1881622934
-
- Chiropractor
- Louisville, KY
- NPI 1962697763
-
- Occupational Therapist
- Louisville, KY
- NPI 1972519395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275664666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13100 EASTPOINT PARK BLVD",
"address_2": "SUITE 200",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402233157",
"telephone_number": "502-245-0767",
"fax_number": "502-245-1380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13100 EASTPOINT PARK BLVD",
"address_2": "SUITE 200",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402233157",
"telephone_number": "502-245-0767",
"fax_number": "502-245-1380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEYOUNG",
"first_name": "ERIC",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "R1714",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000343513",
"state": "KY"
}
],
"endpoints": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.