Mountain Therapy Services LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

MOUNTAIN THERAPY SERVICES LLC

Practice address

114 Yardley CT
Hendersonville, NC 28739-6862

Phone

(706) 540-9315

NPI assigned

Jan 17, 2020

Last updated

Jan 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shauna S Young, OTR/LNPI 1356997217

Title

Owner and Occupational Therapist

Phone

(706) 540-9315

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shauna S Young, OTR/L

  • Occupational Therapist
  • Hendersonville, NC
  • NPI 1356997217
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1669002689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 YARDLEY CT",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287396862",
            "telephone_number": "706-540-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 YARDLEY CT",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287396862",
            "telephone_number": "706-540-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER AND OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "706-540-9315",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.