Active NPI
Wendy Young
- Occupational Therapist
- Philipsburg, PA
National Provider Identifier
1528219276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119004790
- Practice address
- 1633 Philipsburg Bigler Hwy
Philipsburg, PA 16866-8112 - Phone
- (814) 342-5845
- NPI assigned
- Sep 30, 2008
- Last updated
- Aug 16, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119004790 | VA | Primary |
Addresses
Primary practice location
1633 Philipsburg Bigler Hwy
Philipsburg, PA 16866-8112
Mailing address
1633 Philipsburg Bigler Hwy
Philipsburg, PA 16866-8112
Phone (814) 342-5845
Other practice location 1
101 LeRoy Bowen Dr
Lynchburg, VA 24502-5093
Phone (434) 836-0239
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004981197 | Medicaid | VA |
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 |
|---|---|---|---|
| 0119004790 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565913600000",
"number": "1528219276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 PHILIPSBURG BIGLER HWY",
"city": "PHILIPSBURG",
"state": "PA",
"postal_code": "168668112",
"telephone_number": "814-342-5845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 PHILIPSBURG BIGLER HWY",
"city": "PHILIPSBURG",
"state": "PA",
"postal_code": "168668112",
"telephone_number": "814-342-5845"
}
],
"practiceLocations": [
{
"address_1": "101 LeRoy Bowen Dr",
"address_purpose": "LOCATION",
"city": "Lynchburg",
"state": "VA",
"postal_code": "245025093",
"country_code": "US",
"telephone_number": "434-836-0239",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "WENDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119004790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004981197",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philipsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.