Tracy Caldwell Young, PHD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119009784 Issued in VA

Practice address

18 Government Center LN
Verona, VA 24482-2639

Phone

(540) 245-5100

NPI assigned

Feb 15, 2023

Last updated

Feb 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Staunton City Public Schools

  dba Staunton City Schools

  • Local Education Agency (LEA)
  • Staunton, VA
  • NPI 1720231525
  NPD (past)

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1437856960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 SWAN LAKE DR APT 306",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229027264",
            "telephone_number": "610-357-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 GOVERNMENT CENTER LN",
            "city": "VERONA",
            "state": "VA",
            "postal_code": "244822639",
            "telephone_number": "540-245-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Pine Ave",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "VA",
            "postal_code": "229804761",
            "country_code": "US",
            "telephone_number": "540-946-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 W Beverley St",
            "address_purpose": "LOCATION",
            "city": "Staunton",
            "state": "VA",
            "postal_code": "244014279",
            "country_code": "US",
            "telephone_number": "540-332-3920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TRACY",
        "middle_name": "CALDWELL",
        "credential": "PHD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119009784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Shreckhise Weaver, DPT
• Elaine L Webber, H.I.S.
• Brittany S Wilmoth, DPT
• James W Wolfe, MD
• Joseph William Wood Jr.

• Occupational Therapist in Verona, VA
• Providers in Verona, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.