Biorehabilitation and Wellness LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

BIOREHABILITATION AND WELLNESS LLC

Practice address

9411 Old Hastings Rd
East Palatka, FL 32131-4410

Phone

(386) 937-9840

NPI assigned

Mar 26, 2020

Last updated

Mar 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terri Bowling, OTNPI 1548241136

Title

Owner

Phone

(386) 937-9840

Specialties & licenses 1

Addresses

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.

• Terri Bowling, OT

  • Occupational Therapist
  • St Augustine, FL
  • NPI 1548241136
  Authorized official Same address or phone

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1881221935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 OLD HASTINGS RD",
            "city": "EAST PALATKA",
            "state": "FL",
            "postal_code": "321314410",
            "telephone_number": "386-937-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9411 OLD HASTINGS RD",
            "city": "EAST PALATKA",
            "state": "FL",
            "postal_code": "321314410",
            "telephone_number": "386-937-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOREHABILITATION AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "BOWLING",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-937-9840",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Imraan Ansaarie, MD
• Av 1 Pharma LLC (Palatka Pharmacy)
• Valerie L Bennett
• Carl Keith Collier, PT
• Leslie Colombani, M.D.
• Michele Lorraine Davis
• Mariana Dejuk
• Katrina Ailene Dowden, NP-BC

• Occupational Therapist in East Palatka, FL
• Providers in East Palatka, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.