DR. NICOLLET SUE YOUNG OTD
NPI 1164398251
Occupational Therapist in Otsego, MN

Active since October 15, 2025
15590 90TH ST NE, OTSEGO, MN 55330(763) 755-4275(763) 356-4105 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nicollet Sue Young Otd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICOLLET SUE YOUNG OTD (NPI 1164398251) is an individual occupational therapist in Otsego, Minnesota and active in the NPI registry since October 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1164398251
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameDR. NICOLLET SUE YOUNGCredential: OTD
Location Address15590 90TH ST NEOtsego, MN 55330-9452
Mailing Address15590 90th St NeOtsego, MN 55330-9452 · (763) 755-4275 · Fax (763) 356-4105
Fax(763) 356-4105
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
NPI 1164398251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

15590 90TH ST NE, Otsego, MN 55330

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Nicollet Sue Young Otd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335631712
PECOS Enrollment IDI20251124000485

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist (Pediatrics)
15590 90TH ST NE
OTSEGO, MN 55330
Occupational Therapist (Pediatrics)
15590 90TH ST NE
OTSEGO, MN 55330
Physical Therapist
15590 90TH ST NE
OTSEGO, MN 55330
Speech-Language Pathologist
15590 90TH ST NE
OTSEGO, MN 55330
Occupational Therapist
15590 90TH ST NE
OTSEGO, MN 55330
Occupational Therapist
15590 90TH ST NE
OTSEGO, MN 55330
Speech-Language Pathologist
15590 90TH ST NE
OTSEGO, MN 55330
Counselor (Addiction (Substance Use Disorder))
15590 90TH ST NE
OTSEGO, MN 55330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicollet Young's NPI number?

The NPI number for Nicollet Young is 1164398251. It was assigned to this individual provider in the NPPES registry on October 15, 2025.

Where is Nicollet Young located?

Nicollet Young practices at 15590 90th St NE, Otsego, MN 55330. The listed phone number is (763) 755-4275.

What is Nicollet Young's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Nicollet Young enrolled in Medicare?

Yes. Nicollet Young is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicollet Young was last updated on October 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.