Organization Active NPI

Spine and Rehab Solutions, LLC

  • Physical Therapist
  • Mobile, AL
National Provider Identifier
1750703286
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH1107 Issued in AL
Legal business name
SPINE AND REHAB SOLUTIONS, LLC
Practice address
820 S University Blvd
Ste 1a
Mobile, AL 36609-7858
Phone
(251) 301-7066
Fax
(251) 301-7058
NPI assigned
Jan 17, 2014
Last updated
Sep 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Dr. Sharon Young, PT
Title
Managing Member
Phone
(251) 301-7066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH1107 AL Primary

Addresses

Primary practice location

820 S University Blvd
Ste 1a
Mobile, AL 36609-7858

Mailing address

820 S University Blvd
Ste 1a
Mobile, AL 36609-7858
Phone (251) 301-7066

Other identifiers 1

IdentifierTypeStateIssuer
51008986OtherALBLUE CROSS

National Provider Directory

National Provider Directory

Locations

820 S University Blvd
Ste 1A
Mobile, AL 36609
Phone (251) 301-7066

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1750703286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S UNIVERSITY BLVD",
            "address_2": "STE 1A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366097858",
            "telephone_number": "251-301-7066",
            "fax_number": "251-301-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S UNIVERSITY BLVD",
            "address_2": "STE 1A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366097858",
            "telephone_number": "251-301-7066",
            "fax_number": "251-301-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND REHAB SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "251-301-7066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH1107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51008986",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.