THEODORE YOUNG III (NPI# 1336511294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336511294 |
| Entity Type | Individual |
| Full Name | THEODORE YOUNG III |
| Credential | COTA |
| Practice Address |
1099 W Town Pkwy Altamonte Springs FL 32714-3845 |
| Mailing Address |
2272 Hawick Ln Winter Park FL 32792-4114 |
| Practice Telephone | 4078658000 |
| Mailing Telephone | 4078794379 |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 12693 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871862193 | Theodore Young Jr. | Social Worker | 6098 Debra Rd, Suite 5200, Chattanooga, TN 37411-5702 | 2011-12-15 |
| Street Address |
1099 W TOWN PKWY |
| City | ALTAMONTE SPRINGS |
| State | FL |
| Zip Code | 32714-3845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639111297 | Op West Altamonte, Inc. | Skilled Nursing Facility | 1099 W Town Pkwy, Altamonte Springs, FL 32714-3845 | 2006-06-11 |
| 1114524782 | Denalaine Abrahan | Physical Therapy Assistant | 1099 W Town Pkwy, Altamonte Springs, FL 32714-3845 | 2020-10-06 |
| 1871116590 | Allison Patricia Nichols | Speech-Language Pathologist | 1099 W Town Pkwy, Altamonte Springs, FL 32714-3845 | 2020-05-28 |
| 1922657659 | Cambria Evans | Physical Therapist | 1099 W Town Pkwy, Altamonte Springs, FL 32714-3845 | 2019-09-05 |
| 1326533001 | Brandon Hagerott | Physical Therapy Assistant | 1099 W Town Pkwy, Altamonte Springs, FL 32714-3845 | 2018-06-26 |
| 1932699329 | Jamie Aitken | Speech-Language Pathologist | 1099 W Town Pkwy, Altamonte Springs, FL 32714-3845 | 2018-05-11 |
| 1447773197 | Jacqueline M Neff | Physical Therapy Assistant | 1099 W Town Pkwy, Altamonte Springs, FL 32714-3845 | 2017-07-24 |
| 1629512520 | Keeley Nicole Johnson | Physical Therapist | 1099 W Town Pkwy, Altamonte Springs, FL 32714-3845 | 2016-12-12 |
| 1033581533 | Florencio Casanova Regala Jr. | Physical Therapist | 1099 W Town Pkwy, Altamonte Springs, FL 32714-3845 | 2015-10-22 |
| 1912379736 | Jane Da Jose-walker | Physical Therapist | 1099 W Town Pkwy, Altamonte Springs, FL 32714-3845 | 2015-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881207173 | Juliana Cruz | Massage Therapist | 627 Dory Ln Unit.104, Altamonte Springs, FL 32714 | 2020-08-26 |
| 1376178699 | Nicole Diemond Segur | Counselor | 11100 Douglas Avenue, Suite 2040, Altamonte Springs, FL 32714 | 2020-03-06 |
| 1821647033 | Kayla Padilla | Student in an Organized Health Care Education/Training Program | 418 San Sebastian Prado, Altamonte Springs, FL 32714 | 2019-09-10 |
| 1750846077 | Brandi Loverich Ligon | Nurse Practitioner | 519 Baywood Ct, Altamonte Springs, FL 32714 | 2019-02-01 |
| 1831674902 | Eunice Eunjin Pyon | Optometrist | 886 W Fl-436, Altamonte Springs, FL 32714 | 2018-09-25 |
| 1619474251 | A Path To Change Counseling, LLC | Counselor | 221 Frontage Road Suite A, Clermont, FL 32714 | 2018-04-10 |
| 1225556889 | Rosen Medical Center, Inc. | Family Medicine | 7656 International Drive, Orlando, FL 32714 | 2017-09-05 |
| 1932629920 | Antonio Arias | Acupuncturist | 140 N. Westmonte Drive, Suite 100, Altamonte Springs, FL 32714 | 2017-06-21 |
| 1619406030 | Alexander Ruiz | Physical Therapy Assistant | 1348 Sassafras Ave, Altamonte Springs, FL 32714 | 2017-06-08 |
| 1912446386 | Kioanna Branker | Community Health Worker | 697 Ashford Oaks Dr Apt 203, Altamonte Springs, FL 32714 | 2017-02-18 |
| Find all providers in zip 32714 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629532817 | Jessica Valdez | Occupational Therapy Assistant | 671 Altamira Cir Apt 106, Altamonte Springs, FL 32701-4029 | 2019-01-22 |
| 1891229985 | Premaplay LLC | Occupational Therapy Assistant | 541 One Center Blvd, Apt 303, Altamonte Springs, FL 32701-2216 | 2017-04-14 |
| 1750752408 | Lynette Diaz | Occupational Therapy Assistant | 1191 Commerce Park Dr, Altamonte Springs, FL 32714-2035 | 2015-10-07 |
| 1962809467 | Kacie Nicole Short | Occupational Therapy Assistant | 516 One Center Blvd, Apt. 203, Altamonte Springs, FL 32701-2229 | 2014-11-26 |
| 1639415201 | Megan Claire Elder | Occupational Therapy Assistant | 545 One Center Blvd, Apt 304, Altamonte Springs, FL 32701-2217 | 2012-12-29 |
| 1619245164 | Alisha Curry | Occupational Therapy Assistant | 750 Florida Blvd, Altamonte Springs, FL 32701 | 2011-12-12 |
| 1972895100 | Joanne Radkowski | Occupational Therapy Assistant | 678 La Salle Dr, Altamonte Springs, FL 32714-1322 | 2011-05-05 |
| 1609188077 | Marisa Elizabeth Morris | Occupational Therapy Assistant | 588 Brantley Terrace Way Unit 103, Altamonte Springs, FL 32714-0833 | 2010-07-13 |
| 1043487457 | Rebecca S. Hallman | Occupational Therapy Assistant | 610 Red Sail Ln, Altamonte Springs, FL 32701-5425 | 2008-05-14 |
| 1184814030 | Jennifer Milagros Dorival | Occupational Therapy Assistant | 204 Sterling Springs Ln, Altamonte Springs, FL 32714-3864 | 2007-07-26 |
| Find all providers in ALTAMONTE SPRINGS | ||||
| City | ALTAMONTE SPRINGS |
| Zip Code | 32714 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.