Blue Bird Ot, Llc

LBN: Blue Bird Ot, Llc
Blue Bird Ot, Llc is an health care organization with primary practice located at 501 Knights Run Ave Apt 4102 , Tampa FL 33602-5948. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Blue Bird Ot, Llc can be contacted via phone (501) 317-8713, or through Michaud, Brecca Lynn via phone (501) 317-8713.

Contact Information

Primary practice address
501 Knights Run Ave Apt 4102 Tampa FL 33602-5948
Phone: (501) 317-8713
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Michaud, Brecca Lynn MS, OTR/L
Phone: (501) 317-8713

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1649730045
LBN Legal business name Blue Bird Ot, Llc
DBA Doing business as
Authorized official Michaud, Brecca Lynn MS, OTR/L
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2019
Last updated Mar 21st, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649730045 NPPES
Florida MEDICAID 742945

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