Young Therapy, PC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

056005118 Issued in IL

Legal business name

YOUNG THERAPY, PC

Practice address

302 Dropseed Dr
Savoy, IL 61874-8521

Phone

(217) 621-4441

Fax

(866) 401-1462

NPI assigned

Dec 14, 2011

Last updated

Dec 14, 2011By 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

Ms. Stacie Young, MHS, OTR/LNPI 1962529016

Title

Owner

Phone

(217) 621-4441

Specialties & licenses 1

Addresses

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.

• Stacie J Young, OTR-L

  • Occupational Therapist
  • Savoy, IL
  • NPI 1962529016
  NPD (past) Authorized official

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1720357130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 DROPSEED DR",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618748521",
            "telephone_number": "217-621-4441",
            "fax_number": "866-401-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 DROPSEED DR",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618748521",
            "telephone_number": "217-621-4441",
            "fax_number": "866-401-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "STACIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-621-4441",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056005118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Elizabeth Wilson, COTA
• Deborah Deann Winn, LCPC
• Ryan Jeffrey Witt, O.D.
• Karen Gail Wolfson, LCSW
• Elham Yaseen
• Charles A Young Jr., MSW, LSW
• Stacie J Young, OTR-L
• Neelma Zafar, LCSW
• Yuxiu Zhang

• Pediatric Occupational Therapist in Savoy, IL
• Providers in Savoy, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.