YOUNG PAIN AND REHAB CENTER, INC (NPI# 1275671158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275671158 |
| Entity Type | Organization |
| Organization Name | YOUNG PAIN AND REHAB CENTER, INC |
| Practice Address |
7520 W Waters Ave Suite 12 Tampa FL 33615-1599 |
| Practice Telephone | 8138843773 |
| Practice Fax Number | 8138843855 |
| Mailing Telephone | 8138843773 |
| Mailing Fax Number | 8138843855 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | YOUNG SOO SUH (P.T. DIRECTOR) |
| Authorized Official Telephone | 8138843773 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
MM 13883 | FL | Ambulatory Health Care Facilities |
| X | 302R00000X | Health Maintenance Organization | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUECROSS-BLUESHIELD | Y6059 | 01 |
| Street Address |
7520 W WATERS AVE SUITE 12 |
| City | TAMPA |
| State | FL |
| Zip Code | 33615-1599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407113020 | Laboratory of Florida LLC | Clinical Medical Laboratory | 7520 W Waters Ave, Suite 18, Tampa, FL 33615-1599 | 2012-04-19 |
| 1780839357 | Better At Home, LLC. | Nursing Care | 7520 W Waters Ave, Suite 19, Tampa, FL 33615-1599 | 2008-11-24 |
| 1700037587 | Premier Pharma Services Inc | Pharmacy | 7520 W Waters Ave, Suite 6, Tampa, FL 33615-1599 | 2008-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083125132 | The Ida House Assisted Living LLC | Assisted Living Facility | 6014 Rosewood Dr, Tampa, FL 33615 | 2017-10-17 |
| 1235671785 | Magnet Home Health Care Services, LLC | Home Health | 5700 Memorial Highway Suite G X H 102, Tampa, FL 33615 | 2016-11-15 |
| 1891247532 | Martin Esuzor | Nurse Practitioner | 7918 Hillsborough Avenue, Tampa, FL 33615 | 2016-10-28 |
| 1902263007 | Marie E. Simeon | Nursing Facility/Intermediate Care Facility | 8206 Pennywell Place, Tampa, FL 33615 | 2016-01-20 |
| 1598183659 | Mustafa Mohammad | Dermatology | 6001 Memorial Highway, Tampa, FL 33615 | 2014-04-04 |
| 1710327101 | Kelly A Alvarez | Case Manager/Care Coordinator | 7007 Cobblewood Ct, Tampa, FL 33615 | 2013-06-28 |
| 1336497080 | Serenity Home of Tampa Alf LLC | Assisted Living Facility | 6013 Cresthill Drive, Tampa, FL 33615 | 2012-08-28 |
| 1063777563 | Jaime Alexander Pacheco | Chiropractor | 6301 Memorial Hwy Suit 304, Tampa, FL 33615 | 2012-07-10 |
| 1558656678 | Scripts Direct, LLC | Pharmacy | 8313 W. Hillsborough Ave., # 260, Tampa, FL 33615 | 2011-06-16 |
| 1508178245 | The Spring of Tampa Bay | Counselor | 2810 N. 35 St, Tampa, FL 33615 | 2010-07-10 |
| Find all providers in zip 33615 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801366521 | Dimensions Physical Therapy and Wellness | Clinic/Center | 6010 Ambassador Dr, Tampa, FL 33615-3436 | 2018-11-26 |
| 1578040432 | Occupational Health Centers of The Southwest P.a. | Clinic/Center | 3012 N Us Highway 301 Ste 100, Tampa, FL 33619-2208 | 2018-07-24 |
| 1942737747 | Seating Specialist | Clinic/Center | 1402 S Bay Villa Pl, #7, Tampa, FL 33629-6275 | 2017-05-11 |
| 1285160630 | Volleyball Specific Training and Rehabilitation | Clinic/Center | 218 E Bearss Ave, 344, Tampa, FL 33613-1625 | 2017-05-04 |
| 1659810067 | One Holistic Health Clinic.llc | Clinic/Center | 601 N Lois Ave Ste 23, Tampa, FL 33609-2216 | 2017-02-17 |
| 1164800975 | John Magee | Clinic/Center | 10801 North Holt Court, Tampa, FL 33626-2706 | 2015-05-13 |
| 1962893917 | Empowered Pt, Pllc | Clinic/Center | 2705 W Mississippi Ave, Tampa, FL 33629-6131 | 2015-02-12 |
| 1275943177 | Florida Wellness Center Inc. | Clinic/Center | 4311 W. Waters Ave, Suite 310, Tampa, FL 33614 | 2014-04-30 |
| 1972930923 | Specialized Therapy Solutions, Inc | Clinic/Center | 6408 Causeway Blvd, Tampa, FL 33619-6350 | 2013-10-07 |
| 1366762551 | Balance Harmony Lcc | Clinic/Center | 7827 N Dale Mabry Hwy Ste 108, Tampa, FL 33614-3222 | 2010-06-10 |
| 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.