Active NPI
Candince Young, COTA
- Occupational Therapy Assistant
- Addison, TX
National Provider Identifier
1669182077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Practice address
- 14673 Midway Rd Ste 1-111
Addison, TX 75001-3171 - Phone
- (972) 851-1022
- NPI assigned
- Nov 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Primary |
Addresses
Primary practice location
14673 Midway Rd Ste 1-111
Addison, TX 75001-3171
Mailing address
8301 Tallahassee LN
Fort Worth, TX 76123-1513
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2526268555 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | SanctumHealthPartners | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanctum Health Partners, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Carrollton, TX
- NPI 1598254989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1669182077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8301 TALLAHASSEE LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761231513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14673 MIDWAY RD STE 1-111",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013171",
"telephone_number": "972-851-1022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "CANDINCE",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-28",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2526268555",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "SanctumHealthPartners",
"affiliation": "N",
"endpointDescription": "2526268555",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Sanctum Health Partners LLC",
"address_1": "14673 Midway Rd Ste 1-111",
"city": "Addison",
"state": "TX",
"country_code": "US",
"postal_code": "750013171",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Addison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.