Provider Demographics
NPI:1093256984
Name:BRIT THERAPY LLC
Entity Type:Organization
Organization Name:BRIT THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:S
Authorized Official - Last Name:FORREST
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:352-216-6836
Mailing Address - Street 1:3002 SE 1ST AVE
Mailing Address - Street 2:STE. 200
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-0477
Mailing Address - Country:US
Mailing Address - Phone:352-216-6836
Mailing Address - Fax:352-248-0924
Practice Address - Street 1:3002 SE 1ST AVE
Practice Address - Street 2:STE. 200
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471
Practice Address - Country:US
Practice Address - Phone:352-216-6836
Practice Address - Fax:352-248-0924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-13
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT9864225100000X
FLOT4461225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLTQFOOOtherBCBS