Organization Active NPI

Neurorehab Services LLC

  • Rehabilitation Clinic/Center
  • Tampa, FL
National Provider Identifier
1033510631
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
AL10551 Issued in FL
Legal business name
NEUROREHAB SERVICES LLC
Practice address
12250 N 22ND St
Tampa, FL 33612-4955
Phone
(941) 586-4018
NPI assigned
Sep 15, 2014
Last updated
Sep 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Mr. William Adrian Young, LPN
Title
Ceo
Phone
(941) 586-4018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X AL10551 FL Primary

Addresses

Primary practice location

12250 N 22ND St
Tampa, FL 33612-4955

Mailing address

8466 Lockwood Ridge Rd Ste 340
Sarasota, FL 34243-2951
Phone (941) 586-4018

National Provider Directory

National Provider Directory
Tax ID family
Neurorehab Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1033510631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8466 LOCKWOOD RIDGE RD STE 340",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432951",
            "telephone_number": "941-586-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124955",
            "telephone_number": "941-586-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROREHAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ADRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-586-4018",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "AL10551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.