Organization Active NPI

Young Pain and Rehab Center, Inc

  • Physical Therapy Clinic/Center
  • Tampa, FL
National Provider Identifier
1275671158
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
MM 13883 Issued in FL
Legal business name
YOUNG PAIN AND REHAB CENTER, INC
Practice address
7520 W Waters Ave
Suite 12
Tampa, FL 33615-1599
Phone
(813) 884-3773
Fax
(813) 884-3855
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Young Soo Suh, P.T.
Title
P.T. Director
Phone
(813) 884-3773

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MM 13883 FL Primary
Health Maintenance Organization 302R00000X

Addresses

Primary practice location

7520 W Waters Ave
Suite 12
Tampa, FL 33615-1599

Mailing address

7520 W Waters Ave
Suite 12
Tampa, FL 33615-1599
Phone (813) 884-3773

Other identifiers 1

IdentifierTypeStateIssuer
Y6059OtherFLBLUECROSS-BLUESHIELD

National Provider Directory

National Provider Directory

Locations

7520 W Waters Ave
Ste 12
Tampa, FL 33615
Phone (813) 884-3773

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1275671158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 W WATERS AVE",
            "address_2": "SUITE 12",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151599",
            "telephone_number": "813-884-3773",
            "fax_number": "813-884-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 W WATERS AVE",
            "address_2": "SUITE 12",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151599",
            "telephone_number": "813-884-3773",
            "fax_number": "813-884-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG PAIN AND REHAB CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SUH",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "SOO",
        "authorized_official_title_or_position": "P.T. DIRECTOR",
        "authorized_official_telephone_number": "813-884-3773",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MM 13883",
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS-BLUESHIELD",
            "identifier": "Y6059",
            "state": "FL"
        }
    ],
    "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 11, 2025; 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.