Kylie Young

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

123443 Issued in TX

Practice address

10640 N Riverside Dr Ste 200
Fort Worth, TX 76244-9506

Phone

(817) 431-9000

NPI assigned

Aug 21, 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Beelieve Pediatric Therapy Clinic LLC

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
  • NPI 1598185985
  NPD (past)

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1609650712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 N RIVERSIDE DR STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449506",
            "telephone_number": "817-431-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 N RIVERSIDE DR STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449506",
            "telephone_number": "817-431-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KYLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "123443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY",
            "identifier": "123443",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.beelievepediatrictherapy.com",
            "affiliation": "N",
            "address_1": "10640 N Riverside Dr Ste 200",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762449506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John G Young, MD
• Jonique Young
• Kandace Young
• Katie Young, M.S.,CCC-SLP
• Kristin Michelle Young, OT
• Lori Lynn Young, MS, CCC-SLP
• Madeleine Monet Young, CRNA
• Madeline Young, MD
• Marviett Young
• Nicholas Young, LPC-ASSOCIATE

• Occupational Therapist in Fort Worth, TX
• Providers in Fort Worth, 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 21, 2023; 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.