Brad Young Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT 17516 Issued in FL

Legal business name

BRAD YOUNG INC

Practice address

16112 6TH St E
Redington Beach, FL 33708-1618

Phone

(727) 409-8889

NPI assigned

Apr 18, 2008

Organization subpart

No

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

Authorized official

Name

Bradley Young, P.T.NPI 1750325338

Title

President/Owner

Phone

(727) 409-8889

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

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

• Breck Marie Pribyl, MSPT

  • Physical Therapist
  • Tampa, FL
  • NPI 1912002643
  Medicare reassignment NPD
• Bradley Rockwell Young

  • Specialist
  • Pinellas Park, FL
  • NPI 1750325338
  NPD Authorized official

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1548434681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16112 6TH ST E",
            "city": "REDINGTON BEACH",
            "state": "FL",
            "postal_code": "337081618",
            "telephone_number": "727-409-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16112 6TH ST E",
            "city": "REDINGTON BEACH",
            "state": "FL",
            "postal_code": "337081618",
            "telephone_number": "727-409-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD YOUNG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "727-409-8889",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT 17516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Jo Battles, OTR
• Brandi Daniels, COTA/L
• Abby M Eastman, NBC-HWC
• Fyzio V, LLC
• Adele Sharon Giotta, D.C.
• Infinite Tbi Care LLC

• Physical Therapy Clinic/Center in Redington Beach, FL
• Providers in Redington Beach, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.