Mr. Early Bird Logistics LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MR. EARLY BIRD LOGISTICS LLC

Practice address

500 S Florida Ave
Suite 415 PMB 1031
Lakeland, FL 33801

Phone

(863) 888-0151

NPI assigned

Feb 3, 2023

Organization subpart

Yes

Parent organization

MR. TERIS LLCAs reported in NPPES

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

Authorized official

Name

Timothy TerisNPI 1861198772

Title

Ceo

Phone

(863) 888-0151

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Teris, OTA/L

  • Occupational Therapy Assistant
  • Lakeland, FL
  • NPI 1861198772
  NPD Authorized official

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1629774336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S FLORIDA AVE SUITE 415 PMB 1031",
            "address_2": "SUITE 415 PMB 1031",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33801",
            "telephone_number": "863-888-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S FLORIDA AVE",
            "address_2": "SUITE 415 PMB 1031",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33801",
            "telephone_number": "863-888-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR. EARLY BIRD LOGISTICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MR. TERIS LLC",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "TERIS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-888-0151"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Elizabeth Motsinger, ARNP
• Rachel Mottern
• Jakleen Moussa, RDH
• Nayeli Moya Cruz
• Christine Moyer
• Mr. Ed's Circle of Trust, Inc. (The Center for Faith Based Family Services)
• Mr. Ed's Family & Education Intervention Services, Inc.
• MRI Associates of Lakeland, LLC (Highland MRI)
• Angela Michele Mudge, MA, LMHC
• Mueller & Walding, PA (Parkway Dental)

• Non-emergency Medical Transport (VAN) in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.