Organization Active NPI

Premier Therapy and Rehab

  • Occupational Therapist
  • Bristol, FL
National Provider Identifier
1801342001
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 16505 Issued in FL
Legal business name
PREMIER THERAPY AND REHAB
Practice address
10611 NW State Road 20
Bristol, FL 32321-3441
Phone
(850) 591-4737
Fax
(850) 254-9901
NPI assigned
Aug 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Authorized official

Name
Mrs. Tessa Byler, MS OTR/L
Title
Owner
Phone
(850) 591-4737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OT 16505 FL Primary

Addresses

Primary practice location

10611 NW State Road 20
Bristol, FL 32321-3441

Mailing address

10611 NW Sr 20
Bristol, FL 32321-3441
Phone (850) 591-4737

National Provider Directory

National Provider Directory

Locations

10611 NW State Road 20
Bristol, FL 32321
Phone (850) 591-4737

Practitioners & affiliated clinicians

Practitioners 1

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": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1801342001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10611 NW SR 20",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "323213441",
            "telephone_number": "850-591-4737",
            "fax_number": "850-254-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10611 NW STATE ROAD 20",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "323213441",
            "telephone_number": "850-591-4737",
            "fax_number": "850-254-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER THERAPY AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "BYLER",
        "authorized_official_first_name": "TESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-591-4737",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 16505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.