Active NPI
Premier Therapy and Rehab
- Occupational Therapist
- Bristol, FL
National Provider Identifier
1801342001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 16505
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 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 DirectoryLocations
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.
-
- Occupational Therapist
- Bristol, FL
- NPI 1831855402
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
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- Pharmacy Investment Coordinators Inc
- Pharmacy Investment Coordinators, Inc
- Mark Steven Plummer
- Amberly Portero
- Jana Presley
- Professional Mental Health Wellness Services LLC
- Queen Brown Haven Assisted Living Facility
- Emily Louise Rattini-Reich, MSW
- Kristina Michelle Revell
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.