Susan Elizabeth Young, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

005988-1 Issued in NY

Practice address

11 Stillwater Ave
Massapequa, NY 11758-8419

Phone

(516) 799-1359

Fax

(516) 799-1359

NPI assigned

Apr 16, 2012

Last updated

Apr 16, 2012By the provider in NPPES

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)

Enrolled

State licenses

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.

• Susan E. Young OT PC

  • Occupational Therapist
  • Massapequa, NY
  • NPI 1780944041
  Authorized official Same address or phone

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1336406230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 STILLWATER AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117588419",
            "telephone_number": "516-799-1359",
            "fax_number": "516-799-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 STILLWATER AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117588419",
            "telephone_number": "516-799-1359",
            "fax_number": "516-799-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "005988-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.