NEUROREHAB SERVICES LLC (NPI# 1033510631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033510631 |
| Entity Type | Organization |
| Organization Name | NEUROREHAB SERVICES LLC |
| Practice Address |
12250 N 22nd St Tampa FL 33612-4955 |
| Mailing Address |
8466 Lockwood Ridge Rd Ste 340 Sarasota FL 34243-2951 |
| Practice Telephone | 9415864018 |
| Mailing Telephone | 9415864018 |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |
| Authorized Official Name | MR. WILLIAM ADRIAN YOUNG (CEO) |
| Authorized Official Telephone | 9415864018 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
AL10551 | FL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275934879 | Neurorehab Services LLC | Clinic/Center | 11610 Technology Dr, Carmel, IN 46032-5600 | 2014-09-15 |
| Street Address |
12250 N 22ND ST |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-4955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316916281 | Tr & Snf Inc | Skilled Nursing Facility | 12250 N 22nd St, Tampa, FL 33884 | 2006-03-14 |
| 1427672302 | Joseph Anthony Nobles II | Occupational Therapy Assistant | 12250 N 22nd St, Tampa, FL 33612-4955 | 2020-06-05 |
| 1710535471 | Sctt Alf, LLC | Assisted Living Facility | 12250 N 22nd St, Tampa, FL 33612-4955 | 2019-08-27 |
| 1487126264 | Florida Wound & Healing Pa | Hospitalist | 12250 N 22nd St, Tampa, FL 33612-4955 | 2018-12-18 |
| 1346741154 | Spgi Snf LLC | Skilled Nursing Facility | 12250 N 22nd St, Tampa, FL 33612-4955 | 2018-02-27 |
| 1053812867 | Spgi Alf LLC | Assisted Living Facility | 12250 N 22nd St, Tampa, FL 33612-4955 | 2018-02-27 |
| 1528414356 | Novum Tampa Snf, LLC | Skilled Nursing Facility | 12250 N 22nd St, Tampa, FL 33612-4955 | 2016-05-11 |
| 1669561098 | Tr & Snf Inc | Skilled Nursing Facility | 12250 N 22nd St, Tampa, FL 33612-4955 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386185189 | Path Medical, LLC | Clinic/Center | 14824 N Florida Ave Ste A, Tampa, FL 33613-1844 | 2017-03-13 |
| 1558802579 | Path Medical, LLC | Clinic/Center | 4700 N Habana Ave Ste 100, Tampa, FL 33614-7116 | 2017-03-09 |
| 1780062919 | Memorial Medical Center Inc | Clinic/Center | 8001 N Dale Mabry Hwy Ste 501, Tampa, FL 33614-3265 | 2015-05-07 |
| 1306233002 | Sensational Rehab, LLC | Clinic/Center | 204 E Hanna Ave, Tampa, FL 33604-6719 | 2015-04-20 |
| 1245509751 | Cypress Wellness and Spa, Inc. | Clinic/Center | 3249 W Cypress St, Suite C, Tampa, FL 33607-5153 | 2011-12-29 |
| 1265755656 | Columbus Health Care | Clinic/Center | 3434 W Columbus Dr Ste 204, Tampa, FL 33607-1858 | 2010-03-12 |
| 1750613055 | Westport Holdings Tampa, Limited Partnership | Clinic/Center | 12401 N 22nd St, Tampa, FL 33612-4670 | 2010-02-11 |
| 1629307079 | American Rehab Clinic Inc | Clinic/Center | 4006 N Habana Ave, Suite 12, Tampa, FL 33614 | 2009-12-14 |
| 1639407638 | Lissmart Rehabilitation of Tampa,inc | Clinic/Center | 8130 W Waters Ave, 130, Tampa, FL 33615-1821 | 2009-12-02 |
| 1508199175 | Park Place Therapy,llc | Clinic/Center | 6802 N Armenia Ave Ste A, Tampa, FL 33604-5776 | 2009-09-14 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.