Individual provider Active NPI

Cassandra Elaine Young, MSOT

  • Hand Occupational Therapist
  • Hackensack, NJ
National Provider Identifier
1578282547
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
46TR01078500 Issued in NJ
Practice address
250 River St
Hackensack, NJ 07601-7514
Phone
(201) 992-0178
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 46TR01078500 NJ Primary

Addresses

Primary practice location

250 River St
Hackensack, NJ 07601-7514

Mailing address

317 E 14TH St Apt 3B
New York, NY 10003-4226
Phone (484) 597-6446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221004002565 NJ Practitioner - Occupational Therapist in Private Practice 4183000805 Reassigns benefits to 1 organization
I20230322003160 NY Practitioner - Occupational Therapist in Private Practice 4183000805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

333 W 52ND St
Suite 801
New York, NY 10019-6238
Phone (646) 912-9086

Merit-based Incentive Payment System (MIPS)

Final score
77.16 of 100Reported as group
Quality
70
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR01078500NJMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC CurrentSince Mar 17, 2023 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Hand CurrentSince Aug 23, 2024 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Hand CurrentSince Aug 29, 2022 Accepting new patients
Professional Occupational & Physical Therapy, PLLC CurrentSince Aug 29, 2022 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Current Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Hand CurrentSince Aug 23, 2024 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Current Accepting new patients

Locations

250 River St
Hackensack, NJ 07601
Phone (201) 820-3730

1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424

524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591

524 Williamstown Rd
Sicklerville, NJ 08081
Phone (856) 262-9564

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

576 Broadhollow Rd
Melville, NY 11747

333 W 52nd St
Ste 801
New York, NY 10019
Phone (646) 912-9086

2465 Broadway
Lowr
New York, NY 10025
Phone (212) 877-2525

9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212

972 Brush Hollow Rd
Westbury, NY 11590

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1578282547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E 14TH ST APT 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034226",
            "telephone_number": "484-597-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 RIVER ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017514",
            "telephone_number": "201-992-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CASSANDRA",
        "middle_name": "ELAINE",
        "credential": "MSOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NJ",
            "license": "46TR01078500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.