Young and Well

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

05710 Issued in MD

Legal business name

YOUNG AND WELL

Practice address

932 Hungerford Dr Ste 18a
Rockville, MD 20850-1751

Phone

(240) 535-4036

NPI assigned

Jun 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Heather Jackson-Pena, OTR, OTD

Title

Owner/Director

Phone

(240) 535-4036

Specialties & licenses 1

Addresses

Tax ID family

OT for Kids2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• OT for Kids

  • Clinic/Center
  • Rockville, MD
  • NPI 1255563326
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Florencia Castelblanco

  • Pediatric Occupational Therapist
  • Rockville, MD
  • NPI 1851810873

  Pediatrics

  NPD (past)
• Alexandra Jayne Wolff, SLP-CCC

  • Speech-Language Pathologist
  • Rockville, MD
  • NPI 1326714320
  NPD (past)

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1538518048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 HUNGERFORD DR STE 18A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501751",
            "telephone_number": "240-535-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 HUNGERFORD DR STE 18A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501751",
            "telephone_number": "240-535-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG AND WELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "JACKSON-PENA",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "240-535-4036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTR, OTD"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MD",
            "license": "05710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanna Yoon, D.D.S.
• Stephen York
• Kimberly Ann Yost, MS, ATC, CSCS
• You First Health and Wellness Services, LLC
• Jacqueline Soomin You, D.M.D.
• Young Enterprises
• Young Enterprises Inc
• Autumn Young
• Carolynn M Young, MD
• Catherine Young

• Pediatric Occupational Therapist in Rockville, MD
• Providers in Rockville, MD by specialty
• Pediatric Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.