Organization Active NPI

Garnett Rehab Inc

Doing business as Connie's Mastectomy Boutique

  • Durable Medical Equipment & Medical Supplies
  • Crystal River, FL
National Provider Identifier
1649644188
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GARNETT REHAB INC
Doing business as
Connie's Mastectomy Boutique
Practice address
6441 W Norvell Bryant Hwy
Crystal River, FL 34429-9413
Phone
(352) 795-5223
Fax
(352) 795-6390
NPI assigned
Nov 20, 2015
Last updated
May 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
Ms. Twyla Suzan Garnett, RPTNPI 1144489170
Title
President
Phone
(352) 795-5223

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X FL Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

6441 W Norvell Bryant Hwy
Crystal River, FL 34429-9413

Mailing address

6441 W Norvell Bryant Hwy
Crystal River, FL 34429-9413
Phone (352) 795-5223

Other identifiers 1

IdentifierTypeStateIssuer
7516200001OtherFLPTAN

Other names 1

  • Connie's Mastectomy Boutique Doing business as

National Provider Directory

National Provider Directory

Locations

6441 W Norvell Bryant Hwy
Crystal River, FL 34429
Phone (352) 795-1775

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1649644188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6441 W NORVELL BRYANT HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344299413",
            "telephone_number": "352-795-5223",
            "fax_number": "352-795-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6441 W NORVELL BRYANT HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344299413",
            "telephone_number": "352-795-5223",
            "fax_number": "352-795-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARNETT REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "GARNETT",
        "authorized_official_first_name": "TWYLA",
        "authorized_official_middle_name": "SUZAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-795-5223",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "7516200001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connie's Mastectomy Boutique",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Connie's Mastectomy Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.