Individual provider Active NPI

Sadie Young, OTDR/L

  • Occupational Therapist
  • Memphis, TN
National Provider Identifier
1508604901
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8027 Issued in TN
Practice address
6286 Briarcrest Ave Ste 110
Memphis, TN 38120-4023
Phone
(901) 261-2506
Fax
(901) 259-1698
NPI assigned
Jul 18, 2024
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 8027 TN Primary

Addresses

Primary practice location

6286 Briarcrest Ave Ste 110
Memphis, TN 38120-4023

Mailing address

6077 Primacy Pkwy Ste 140
Memphis, TN 38119-5754
Phone (901) 259-1673

Other names 1

  • Sadie Hare Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241109000244 TN Practitioner - Occupational Therapist in Private Practice 3971037219 Reassigns benefits to 2 organizations
I20241218001236 MS Practitioner - Occupational Therapist in Private Practice 3971037219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians
MSK Group PCGroup PAC ID 4688574262, shared by 10 NPIs, 138 clinicians

Practice addresses (Care Compare)

1535 Appling Care LN
Cordova, TN 38016-4994
Phone (901) 883-0262

6286 Briarcrest Ave
Suite 200
Memphis, TN 38120-4023
Phone (901) 641-3000

7111 Southcrest Pkwy
Suite 105
Southaven, MS 38671-4851
Phone (901) 261-2506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8027TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Group, PC CurrentSince Oct 3, 2024 Accepting new patients
MSK Group, PC Occupational Therapist CurrentSince Oct 3, 2024 Accepting new patients
MSK Group PC CurrentSince Nov 19, 2024 Accepting new patients
Memphis Speech-Language Pathology PLLC PastSince Jul 1, 2024 Accepting new patients

Locations

7111 Southcrest Pkwy
Ste 105
Southaven, MS 38671
Phone (901) 261-2506

7580 Clarington Cv
Southaven, MS 38671
Phone (901) 259-1600

6077 E Primacy Pkwy
Ste 140
Memphis, TN 38119
Phone (901) 725-8347

6286 Briarcrest Ave
#200
Memphis, TN 38120
Phone (901) 259-1600

6286 Briarcrest Ave
Ste 100
Memphis, TN 38120
Phone (901) 259-1600

6286 Briarcrest Ave
Ste 110
Memphis, TN 38120
Phone (901) 259-1600

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1508604901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6077 PRIMACY PKWY STE 140",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195754",
            "telephone_number": "901-259-1673",
            "fax_number": "901-259-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6286 BRIARCREST AVE STE 110",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204023",
            "telephone_number": "901-261-2506",
            "fax_number": "901-259-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SADIE",
        "credential": "OTDR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "8027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SADIE",
            "last_name": "HARE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.