Amy Crocetti Young, PTA, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019009348 Issued in VA

Practice address

1561 Bradford Rd Ste 202
Virginia Beach, VA 23455-4091

Phone

(757) 447-7411

NPI assigned

Apr 20, 2007

Last updated

Feb 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1932326824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 LAKE BRADFORD LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234551909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 BRADFORD RD STE 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554091",
            "telephone_number": "757-447-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "AMY",
        "middle_name": "CROCETTI",
        "credential": "PTA, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306601808",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019009348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta York, COTA/L
• Samuel Yoselevitz, M.D.
• Tara Yoshikawa
• Young Family Dentistry
• Leah Stacy Young-Price, MA,LPC,NCC,CCMHC
• Bailey Young, RN
• Caitlin Young
• Cynthia Young
• Dana Ray Young
• Emily Young

• Massage Therapist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Massage Therapist in Virginia

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