Individual provider Active NPI

Lydia Young Oh, OTR/L

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1750923181
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.013648 Issued in IL
Practice address
1165 N Clark St Ste 700
Chicago, IL 60610-2821
Phone
(312) 529-8457
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.013648 IL Primary

Addresses

Primary practice location

1165 N Clark St Ste 700
Chicago, IL 60610-2821

Mailing address

1165 N Clark St Ste 700
Chicago, IL 60610-2821
Phone (312) 529-8457

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.013648ILMDOccupational Therapist
024130NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Duck Collective, PLLC Occupational Therapist CurrentSince Sep 1, 2023 Accepting new patients

Locations

230 E Ohio St
Ste 4101763
Chicago, IL 60611

1165 N Clark St
Ste 700
Chicago, IL 60610
Phone (312) 529-8457

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1750923181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 N CLARK ST STE 700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102821",
            "telephone_number": "312-529-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 N CLARK ST STE 700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102821",
            "telephone_number": "312-529-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "LYDIA",
        "middle_name": "YOUNG",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.013648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.