NPIMap

Organization Active NPI

Rehab and Sports Medicine of the Shoals, Inc

  • Physical Therapy Clinic/Center
  • Florence, AL
National Provider Identifier
1003809955
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REHAB AND SPORTS MEDICINE OF THE SHOALS, INC
Practice address
1751 Veterans Dr Ste 300
Florence, AL 35630-4930
Phone
(256) 718-3200
Fax
(256) 764-9343
NPI assigned
Aug 25, 2005
Last updated
Dec 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John A Young, MDNPI 1437119765
Title
President
Phone
(256) 764-9304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

1751 Veterans Dr Ste 300
Florence, AL 35630-4930

Mailing address

1751 Veterans Dr Ste 300
Florence, AL 35630-4930
Phone (256) 718-3200

Other practice location 1

104 Physicians Dr Ste C
Muscle Shoals, AL 35661-2151
Phone (256) 764-9304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051107000123 AL Part B Supplier - Clinic/Group Practice 6204854482 Receives reassigned benefits from 10 practitioners
Practice locations: Florence, AL; Muscle Shoals, AL

National Provider Directory

National Provider Directory

Locations

401 Cox Blvd
Ste D
Sheffield, AL 35660
Phone (256) 246-3490

Networks

  • AL HMO D-SNP

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1003809955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 VETERANS DR STE 300",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304930",
            "telephone_number": "256-718-3200",
            "fax_number": "256-764-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 VETERANS DR STE 300",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304930",
            "telephone_number": "256-718-3200",
            "fax_number": "256-764-9343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Physicians Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Muscle Shoals",
            "state": "AL",
            "postal_code": "356612151",
            "country_code": "US",
            "telephone_number": "256-764-9304",
            "fax_number": "256-764-9343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REHAB AND SPORTS MEDICINE OF THE SHOALS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-764-9304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.