Organization
BAYSIDE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL YOUNG COTA/L (CEO)
(321) 806-9395
Entity
Organization
Contact information
Practice address
2075 MEADOWLANE AVE, MELBOURNE, FL 32904-4951
(321) 806-9395
Mailing address
674 OLD COUNTRY RD SE, PALM BAY, FL 32909-6903
(321) 806-9395
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
—
—
225100000X
Physical Therapist
—
—
2251C2600X
Cardiopulmonary Physical Therapist
—
—
2251E1200X
Ergonomics Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XL0004X
Low Vision Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
227800000X
Certified Respiratory Therapist
—
—
2278P3900X
Neonatal/Pediatric Certified Respiratory Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/01/2025
Last updated
05/05/2025
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