| Nicholas Chase Young, OTR | |
| 
					650 S Greenville Ave, Allen, TX 75002-3037  | |
| (877) 407-3422 | |
| (877) 407-4329 | 
| Full Name | Nicholas Chase Young | 
|---|---|
| Gender | Male | 
| Speciality | Occupational Therapist | 
| Location | 650 S Greenville Ave, Allen, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528747144 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225X00000X | Occupational Therapist | 123629 (Texas) | Primary | 
| Provider Name | Endeavor Rehab Center Inc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1760506232 PECOS PAC ID: 6800989369 Enrollment ID: O20070829000910  | 
| Provider Name | Fox Rehabilitation Services Tx Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1710582580 PECOS PAC ID: 7113330879 Enrollment ID: O20210119002550  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nicholas Chase Young, OTR 2011 E 6th St Apt 1114, Austin, TX 78702-3474 Ph: (210) 844-3830  | Nicholas Chase Young, OTR 650 S Greenville Ave, Allen, TX 75002-3037 Ph: (877) 407-3422  | 
Kelly Frye, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 915 W Exchange Pkwy Ste 100, Allen, TX 75013 Phone: 214-547-1571  | |
Laura Battaia, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 916 Carnegie Ct, Allen, TX 75002 Phone: 972-742-0442  | |
Katie Peacock, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 N Watters Rd Ste 150, Allen, TX 75013 Phone: 469-675-3153 Fax: 469-675-3154  | |
Mrs. Joella Dawn Mcgrew, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 515 W Main St, Suite 111, Allen, TX 75013 Phone: 214-509-6961 Fax: 214-382-0943  | |
Jennifer Lopez, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Junction Dr, Allen, TX 75013 Phone: 469-675-3153  | |
Dr. Robin Bolla Jr., OTR, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 997 Raintree Cir Ste 170&180, Allen, TX 75013 Phone: 972-727-1931  | |
Mckenzie Leigh Moninger, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Junction Dr, Allen, TX 75013 Phone: 469-675-3153  |