Organization Active NPI

Premier Hand Therapy LLC

  • Occupational Therapist
  • Sarasota, FL
National Provider Identifier
1497413280
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
PREMIER HAND THERAPY LLC
Practice address
1775 Arlington St Ste 2
Sarasota, FL 34239-2143
Phone
(941) 914-5983
NPI assigned
Nov 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Sangeetha Bulusu, OTNPI 1851626972
Title
Owner
Phone
(941) 914-5983

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

1775 Arlington St Ste 2
Sarasota, FL 34239-2143

Mailing address

1775 Arlington St Ste 2
Sarasota, FL 34239-2143
Phone (941) 914-5983

Other identifiers 1

IdentifierTypeStateIssuer
OT15341OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220126002645 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0244622108 Receives reassigned benefits from 2 practitioners
Practice locations: Lakewood Ranch, FL
O20220630002081 FL DME Supplier - Independently-Practicing Occupational Therapist 0244622108 Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

7241 Delainey Ct
Lakewood Ranch, FL 34240
Phone (941) 914-5983

1775 Arlington St
Ste 2
Sarasota, FL 34239
Phone (941) 364-3338

Practitioners & affiliated clinicians

Practitioners 3

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": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1497413280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 ARLINGTON ST STE 2",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392143",
            "telephone_number": "941-914-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 ARLINGTON ST STE 2",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392143",
            "telephone_number": "941-914-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HAND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "BULUSU",
        "authorized_official_first_name": "SANGEETHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-914-5983",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OT15341",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.