Provider Demographics
NPI:1235882929
Name:YOUNG, JOHN-SCOTT (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:JOHN-SCOTT
Middle Name:
Last Name:YOUNG
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11201 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64137-2424
Mailing Address - Country:US
Mailing Address - Phone:706-302-9584
Mailing Address - Fax:
Practice Address - Street 1:11150 S GREENWOOD ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66215-4898
Practice Address - Country:US
Practice Address - Phone:913-286-6625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KST-05551225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist