Individual provider Active NPI

Christi P Young, OT

  • Occupational Therapist
  • Woodbridge, VA
National Provider Identifier
1629257068
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119003473 Issued in VA
Practice address
2280 Opitz Blvd
Suite 120
Woodbridge, VA 22191-3362
Phone
(703) 580-5160
Fax
(703) 580-6880
NPI assigned
Nov 2, 2007
Last updated
Jan 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119003473 VA Primary

Addresses

Primary practice location

2280 Opitz Blvd
Suite 120
Woodbridge, VA 22191-3362

Mailing address

9900 Main St
Suite 200a
Fairfax, VA 22031-3907
Phone (703) 279-4360

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

LicenseStateTypeSpecialty
0119003473VAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1629257068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 MAIN ST",
            "address_2": "SUITE 200A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313907",
            "telephone_number": "703-279-4360",
            "fax_number": "703-279-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 OPITZ BLVD",
            "address_2": "SUITE 120",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913362",
            "telephone_number": "703-580-5160",
            "fax_number": "703-580-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CHRISTI",
        "middle_name": "P",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119003473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.