Jaycie Young, OT | |
4700 Highway 365 Ste J, Port Arthur, TX 77642-7719 | |
(409) 344-9089 | |
(409) 344-9390 |
Full Name | Jaycie Young |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 4700 Highway 365 Ste J, Port Arthur, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548943350 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 122129 (Texas) | Primary |
Provider Name | Theraspace Llp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710588082 PECOS PAC ID: 6305247123 Enrollment ID: O20210630000971 |
Mailing Address | Practice Location Address |
---|---|
Jaycie Young, OT 4700 Highway 365 Ste J, Port Arthur, TX 77642-7719 Ph: (409) 344-9089 | Jaycie Young, OT 4700 Highway 365 Ste J, Port Arthur, TX 77642-7719 Ph: (409) 344-9089 |
Ms. Trina Ann Bivens, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8595 Medical Center Blvd, Port Arthur, TX 77640 Phone: 409-721-8600 | |
Venita Denice Sheldon, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2849 9th Ave, Port Arthur, TX 77642 Phone: 409-983-6659 Fax: 409-983-6408 | |
Kimberly Suzanne Holt, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8700 9th Ave, Suite 103, Port Arthur, TX 77642 Phone: 409-722-5437 Fax: 409-722-5435 | |
Mrs. Lindsay Salter Wortham, MOT, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4225 Lake Arthur Dr, Port Arthur, TX 77642 Phone: 409-727-3193 | |
Trisha Renee Irwin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8595 Medical Center Blvd, Port Arthur, TX 77640 Phone: 409-721-8600 |