Kristina Pauline Young, OTR/L MOT

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

OT006748 Issued in OH

Practice address

1402 12TH St NW
Canton, OH 44703-2133

Phone

(330) 455-9620

NPI assigned

Oct 20, 2006

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

State licenses

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346322963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 12TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447032133",
            "telephone_number": "330-455-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 12TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447032133",
            "telephone_number": "330-455-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KRISTINA",
        "middle_name": "PAULINE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L MOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "OH",
            "license": "OT006748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathleen Young, RN
• Dawn M Young, RN
• Debra Jo Young, CNS
• Denise R Young, COTA/L
• James Scott Young, MD
• Latasha Young, CPST
• Laura Elizabeth Young, M.A.
• Lauren Young, DDS
• Marcia Lynn Young
• Marcy Lynn Young

• Rehabilitation Hospital in Canton, OH
• Providers in Canton, OH by specialty
• Rehabilitation Hospital in Ohio

• 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.

Verify at the official NPI Registry.