MEDICARE: SARA YOUNG OT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	6037	SC
2	225X00000X	Occupational Therapist	OT007924	GA

General Provider Information

NPI Number	:	1598208274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA YOUNG OT

Provider Business Mailing Address
First Line	:	246 LAKESIDE DR
Second Line	:
City	:	AIKEN
State	:	SC
Zip	:	29803-5820
Country	:	US
Telephone Number	:	803-215-8878
Fax Number	:

Provider Business Practice Location Address
First Line	:	802 E MARTINTOWN RD
Second Line	:
City	:	NORTH AUGUSTA
State	:	SC
Zip	:	29841-5308
Country	:	US
Telephone Number	:	803-226-7072
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2016
Last Update Date	:	02/08/2026

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Directions to “ SARA YOUNG OT” Practice Location

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