Provider Demographics
NPI:1427215201
Name:B & T REHAB LLC
Entity Type:Organization
Organization Name:B & T REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:727-534-8014
Mailing Address - Street 1:10722 RAIN LILLY PASS
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-6924
Mailing Address - Country:US
Mailing Address - Phone:727-534-8014
Mailing Address - Fax:813-929-0170
Practice Address - Street 1:37411 EILAND BLVD
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-1800
Practice Address - Country:US
Practice Address - Phone:727-534-8014
Practice Address - Fax:813-929-0170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT15080225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty