Tamara Michelle Young, O.T.R.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

109584 Issued in TX

Practice address

2300 Gravel Dr
Fort Worth, TX 76118-6950

Phone

(817) 589-7033

Fax

(817) 595-1178

NPI assigned

Apr 2, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pediatric Therapy Associates of FW

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1447447180

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699896183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 RANCH TRL APT 161",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637615",
            "telephone_number": "972-869-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GRAVEL DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761186950",
            "telephone_number": "817-589-7033",
            "fax_number": "817-595-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TAMARA",
        "middle_name": "MICHELLE",
        "credential": "O.T.R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "109584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85065T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn Young, M.D.
• Scott Young, LPC ASSOCIATE
• Shelby Young, LCSW
• Stephanie Lee Young
• Sylvia Young
• Thomas Young, DDS
• Todd E Young, DO
• Warren Blake Young
• Wendy D Young, CRNA
• Wesley Young

• Occupational Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Occupational Therapist in Texas

• 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.