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NPI Code Detail

MEDICARE: FBTC TRANSITIONAL SUB, LLC

MEDICARE: FBTC TRANSITIONAL SUB, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2224ZF0002XFeeding, Eating & Swallowing Occupational Therapy Assistant
3261QH0700XHearing and Speech Clinic/Center
4225XP0200XPediatric Occupational Therapist
5261QP2000XPhysical Therapy Clinic/Center
62251P0200XPediatric Physical Therapist
7261QD1600XDevelopmental Disabilities Clinic/Center

General Provider Information

NPI Number : 1255149746
Entity Type Code : Organization
Provider Name (Legal Business Name) : FBTC TRANSITIONAL SUB, LLC
Provider Business Mailing Address
First Line : 6600 FRANCE AVE S STE 350
Second Line :
City : EDINA
State : MN
Zip : 55435-1810
Country : US
Telephone Number : 800-388-5150
Fax Number :
Provider Business Practice Location Address
First Line : 806 TOWNE PARK DR
Second Line :
City : RINCON
State : GA
Zip : 31326-9368
Country : US
Telephone Number : 800-388-5150
Fax Number :
Authorized Official
Title or Position : VP& SR ASST GENERAL COUNSEL
Name : MARY PATRICIA RODENBERG-ROBERTS
Credential :
Telephone Number : 952-836-2234
Provider Enumeration Date : 12/30/2024
Last Update Date : 06/06/2026

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Directions to “FBTC TRANSITIONAL SUB, LLC ” Practice Location

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