Individual provider Active NPI

David Young Hong, OTR-L

  • Neurorehabilitation Occupational Therapist
  • Dorchester Center, MA
National Provider Identifier
1629279294
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
License
OT-5895 Issued in MA
Practice address
2049 Dorchester Ave
Dorchester Center, MA 02124-4742
Phone
(617) 825-3905
Fax
(617) 825-1951
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational Therapist 225XN1300X OT-5895 MA Primary

Addresses

Primary practice location

2049 Dorchester Ave
Dorchester Center, MA 02124-4742

Mailing address

86 E Howard St
Unit #202
Quincy, MA 02169-8727
Phone (617) 388-9541

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
OT-5895MAMDNeurorehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629279294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 E HOWARD ST",
            "address_2": "UNIT #202",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021698727",
            "telephone_number": "617-388-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2049 DORCHESTER AVE",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021244742",
            "telephone_number": "617-825-3905",
            "fax_number": "617-825-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG HONG",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "OTR-L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "MA",
            "license": "OT-5895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester Center, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.