Rachel Young
Individual provider Active NPI Occupational Therapist · Montara, CA
NPI 1366093478 · NPPES record last updated Sep 20, 2019
Key facts
- NPI
- 1366093478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 17234 (CA)
- Practice address
- 1340 Cedar St
Montara, CA 94037-0861 - Phone
- (928) 925-3407
- NPI assigned
- Sep 20, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6255 | TN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6255 | TN | |
| Occupational Therapist | 225X00000X | 17234 | CA | Yes |
Addresses
Primary practice location
1340 Cedar St
Montara, CA 94037-0861
Mailing address
PO Box 370861
Montara, CA 94037-0861
Phone (928) 925-3407
Other providers in Montara, CA
All providers in Montara, CA · Occupational Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.