Active NPI
Carrie Anne Young, OTRL
- Occupational Therapist
- Wilsonville, OR
National Provider Identifier
1417006487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1039896
- Practice address
- 27501 SW 95TH Ave
Wilsonville, OR 97070-2905 - Phone
- (503) 855-3223
- Fax
- (503) 266-8632
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Occupational Therapist | 225X00000X | 1039896 | OR | Primary |
Addresses
Primary practice location
27501 SW 95TH Ave
Wilsonville, OR 97070-2905
Mailing address
610 High St
Oregon City, OR 97045-2241
Phone (503) 657-8903
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240075 | Medicaid | OR | |
| 8461816 | Medicaid | WA |
Other names 1
- Ms. Carrie Anne Geddes
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1039896 | OR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurotherapeutic Pediatric Therapies Inc | Counselor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Wilsonville, OR
- NPI 1396288767
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751068800000",
"number": "1417006487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 HIGH ST",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970452241",
"telephone_number": "503-657-8903",
"fax_number": "503-266-8632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27501 SW 95TH AVE",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970702905",
"telephone_number": "503-855-3223",
"fax_number": "503-266-8632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "CARRIE",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2025-06-28",
"certification_date": "2025-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "1039896",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "240075",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8461816",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARRIE",
"last_name": "GEDDES",
"middle_name": "ANNE",
"prefix": "MS.",
"credential": "OTRL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wilsonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.