Jaycie Young, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

122129 Issued in TX

Practice address

4700 Highway 365 Ste J
Port Arthur, TX 77642-7719

Phone

(409) 344-9089

Fax

(409) 344-9390

NPI assigned

Aug 8, 2023

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

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Theraspace LLP

  • Speech-Language Pathologist
  • Nederland, TX
  • NPI 1710588082

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1548943350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 HIGHWAY 365 STE J",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427719",
            "telephone_number": "409-344-9089",
            "fax_number": "409-344-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 HIGHWAY 365 STE J",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427719",
            "telephone_number": "409-344-9089",
            "fax_number": "409-344-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JAYCIE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "122129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roya Wood-Scott, D.D.S.
• Richard L Woodcroft, PA
• Matresa Lea Wooding, LCSW
• Lindsay Salter Wortham, MOT, OTR
• Young Men'S Christian Association of Southeast Texas
• Roger Wayne Young, OD

• Occupational Therapist in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.