Individual provider Active NPI

Amy M Young, OTR/L, CEAC, CAPS

  • Environmental Modification Occupational Therapist
  • Baltimore, MD
National Provider Identifier
1972848745
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Environmental Modification Occupational TherapistTaxonomy code 225XE0001X
License
04146 Issued in MD
Practice address
5908 Edna Ave
Baltimore, MD 21214
Phone
(443) 473-2030
NPI assigned
Dec 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational Therapist 225XG0600X 4146 MD
Environmental Modification Occupational Therapist 225XE0001X 04146 MD Primary

Addresses

Primary practice location

5908 Edna Ave
Baltimore, MD 21214

Mailing address

5908 Edna Ave
Baltimore, MD 21214-1805
Phone (443) 473-2030

Other practice location 1

1 Price Dr
Elkton, MD 21921-6731
Phone (410) 398-6474

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
4146MDMDPsychologist
04146MDMDEnvironmental Modification Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1972848745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 EDNA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141805",
            "telephone_number": "443-473-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5908 EDNA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21214",
            "telephone_number": "443-473-2030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Price Dr",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219216731",
            "country_code": "US",
            "telephone_number": "410-398-6474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "AMY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "OTR/L, CEAC, CAPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "MD",
            "license": "4146",
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "MD",
            "license": "04146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.