Active NPI
Chelsea Young, M.S.
- Occupational Therapist
- Oswego, NY
National Provider Identifier
1861883522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 019429-1
- Practice address
- 159 W 1St St
Oswego, NY 13126-2045 - Phone
- (315) 342-9575
- NPI assigned
- Feb 16, 2015
- Last updated
- Feb 16, 2015
- 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 Therapist | 225X00000X | 019429-1 | NY | Primary |
Addresses
Primary practice location
159 W 1St St
Oswego, NY 13126-2045
Mailing address
7774 Stoney Lonesome Rd
Williamson, NY 14589-9582
Phone (585) 313-3151
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 336727 | Other | NY | NATIONAL BOARD CERTIFICATION IN OCCUPATIONAL THERAPY |
| 019429-1 | Other | NY | STATE OF NEW YORK EDUCATION DEPARTMENT OFFICE OF THE PROFESSIONS |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019429-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424044800000",
"number": "1861883522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7774 STONEY LONESOME RD",
"city": "WILLIAMSON",
"state": "NY",
"postal_code": "145899582",
"telephone_number": "585-313-3151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 W 1ST ST",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131262045",
"telephone_number": "315-342-9575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "CHELSEA",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-16",
"last_updated": "2015-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "019429-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD CERTIFICATION IN OCCUPATIONAL THERAPY",
"identifier": "336727",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NEW YORK EDUCATION DEPARTMENT OFFICE OF THE PROFESSIONS",
"identifier": "019429-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.