=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295014355
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BTR BUSINESS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/08/2011
-----------------------------------------------------
Last Update Date | 12/08/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5920 GRELOT ROAD SUITE C2
-----------------------------------------------------
City | MOBILE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36609-3606
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-470-8063
-----------------------------------------------------
Fax | 251-342-2060
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5920 GRELOT ROAD SUITE C2
-----------------------------------------------------
City | MOBILE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36609-3606
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-470-8063
-----------------------------------------------------
Fax | 251-342-2060
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ONWER/ PRESIDENT
-----------------------------------------------------
Name | TIFFANI BIELLER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 630-470-8063
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------