Bethany Young, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

22292 Issued in CA

Practice address

1622 San Carlos Ave Ste B
San Carlos, CA 94070-2060

Phone

(650) 200-6154

NPI assigned

Oct 7, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Skilled Therapy & Play Services, Inc.

  • Behavior Analyst
  • San Carlos, CA
  • NPI 1023613791

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1689399065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 WILLIAMS CT",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940804053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 SAN CARLOS AVE STE B",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702060",
            "telephone_number": "650-200-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BETHANY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "22292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Seiichi Yen
• Yenba Sing, DMD a Professional Corporation
• Vivian Yeung
• Yiqi Medical Group
• Arlan W. Young, D.C.
• David Young, DDS
• Monique Young
• Rachel Young, MD
• Sonny Young, D.O.
• Sophia Yu, OTD, OTR/L

• Occupational Therapist in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.