Healthcare Provider Details

I. General information

NPI: 1295014355
Provider Name (Legal Business Name): BTR BUSINESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2011
Last Update Date: 12/08/2023
Certification Date: 12/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5920 GRELOT ROAD SUITE C2
MOBILE AL
36609-3606
US

IV. Provider business mailing address

5920 GRELOT ROAD SUITE C2
MOBILE AL
36609-3606
US

V. Phone/Fax

Practice location:
  • Phone: 630-470-8063
  • Fax: 251-342-2060
Mailing address:
  • Phone: 630-470-8063
  • Fax: 251-342-2060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: TIFFANI BIELLER
Title or Position: ONWER/ PRESIDENT
Credential:
Phone: 630-470-8063